| Name: | South Shelby Family Medicine, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 30 May 2006 (18 years ago) (Companies founded in May 2006) |
| Entity Number: | 000-247-559 |
| Register Number: | 000247559 |
| ZIP code: | 35007 (Companies in Shelby, 35007) |
| County: | Shelby |
| Place of Formation: | Shelby County |
| Principal Address: | ALABASTER, AL |
| Registered Office Street Address: | 1022 1ST STREET NORTH STE 302ALABASTER, AL 35007 |
| Authorized Capital: | $5,000 |
Activities
PRACTICE OF FAMILY MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467497875 | 2006-06-19 | 2022-09-26 | PO BOX 584, ALABASTER, AL, 350072045, US | 1022 1ST ST N, SUITE 302, ALABASTER, AL, 350078706, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 205-492-9313 |
| Phone | +1 205-663-4009 |
| Fax | 2056639966 |
Authorized person
| Name | KENT T KANATANI |
| Role | OWNER |
| Phone | 2054929313 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| KENATANI, KENT THOMAS | Agent |
| Name | Role | Address |
|---|---|---|
| LEVY, JACK B | Incorporator | 1819 FIFTH AVENUE NBIRMINGHAM, AL 35203 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
