| Name: | HealthyKids of Gardendale, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 31 Aug 2004 (20 years ago) |
| Entity Number: | 000-237-164 |
| Register Number: | 000237164 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | GARDENDALE, AL |
| Registered Office Street Address: | 1127 PECAN AVEGARDENDALE, AL 35071 |
| Registered Office Street Address ZIP Code: | 35071 |
| Authorized Capital: | $5,000 |
| Paid Share Capital: | $5,000 |
Activities
RENDER PROFESSIONAL MEDICAL SERVICES TO CHILDREN
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245256494 | 2006-07-14 | 2020-08-22 | 1127 PECAN AVE, SUITE 100, GARDENDALE, AL, 350712543, US | 1127 PECAN AVE, SUITE 100, GARDENDALE, AL, 350712543, US | |||||||||||||||||||
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| Phone | +1 205-608-2055 |
| Fax | 2056082045 |
Authorized person
| Name | DR. PATRICIA KAY HARRIS |
| Role | PRESIDENT/OWNER |
| Phone | 2056082055 |
Taxonomy
| Taxonomy Code | 305R00000X - Preferred Provider Organization |
| License Number | 00023211 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| HARRIS, PATRICIA K | Agent |
| Name | Role |
|---|---|
| HARRIS, PATRICIA K | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
