| Name: | Kids Town Pediatrics, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 12 Jan 2006 (19 years ago) |
| Entity Number: | 000-245-190 |
| Register Number: | 000245190 |
| County: | Morgan |
| Place of Formation: | Morgan County |
| Principal Address: | DECATUR, AL |
| Registered Office Street Address: | 3246 VICKSBURG DR SWDECATUR, AL 35603 |
| Registered Office Street Address ZIP Code: | 35603 |
| Authorized Capital: | $1,000 |
Activities
MEDICAL CARE/TREATMENT FOR CHILDREN
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831378967 | 2007-10-25 | 2007-10-25 | 2506 DANVILLE RD SW # A, SUITE 103, DECATUR, AL, 356034232, US | 2506 DANVILLE RD SW # A, SUITE 103, DECATUR, AL, 356034232, US | |||||||||||||||||||
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| Phone | +1 256-301-9479 |
| Fax | 2563019753 |
Authorized person
| Name | ME'LISSA R YOUNG-KING |
| Role | OWNER |
| Phone | 2563019749 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | DO674 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| YOUNG-KING, MELISSA R | Agent |
| Name | Role | Address |
|---|---|---|
| BROOM, MICHAEL | Incorporator | 384 HOLLAND LAKE DR SOUTHPELHAM, AL 35214 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
