| Name: | Kurt W. Kantzler, D.O., Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 14 Sep 2000 (24 years ago) |
| Date of dissolution: | 18 Mar 2009 |
| Entity Number: | 000-212-136 |
| Register Number: | 000212136 |
| County: | Etowah |
| Place of Formation: | Etowah County |
| Principal Address: | GASDEN, AL |
| Registered Office Street Address: | 146 MCCARVER DRGASDEN, AL 35901 |
| Registered Office Street Address ZIP Code: | 35901 |
| Authorized Capital: | $1,500 |
Activities
MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073664207 | 2007-01-15 | 2020-08-22 | 215 S 5TH ST, GADSDEN, AL, 359014217, US | 215 S 5TH ST, GADSDEN, AL, 359014217, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 256-543-2867 |
| Fax | 2565467354 |
Authorized person
| Name | KURT KANTZLER |
| Role | OWNER |
| Phone | 2565432867 |
Taxonomy
| Taxonomy Code | 207KA0200X - Allergy Physician |
| License Number | DO637 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 207YX0007X - Plastic Surgery within the Head & Neck (Otolaryngology) Physician |
| License Number | DO637 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 207YX0007X - Plastic Surgery within the Head & Neck (Otolaryngology) Physician |
| License Number | MD27282 |
| State | AL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| KANTZLER, KURT W | Agent | 215 SOUTH 5TH STREETGADSDEN, AL 35901 |
| Name | Role |
|---|---|
| JONES, LAMONT W | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
