Name: | Kenneth R. Smith, P.C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Corporation |
Status: | Exists |
Date of registration: | 20 Jul 2009 (15 years ago) |
Entity Number: | 000-261-544 |
Register Number: | 000261544 |
County: | Jefferson |
Place of Formation: | Jefferson County |
Principal Address: | BIRMINGHAM, AL |
Registered Office Street Address: | 840 MONTCLAIR RD STE 722BIRMINGHAM, AL 35213 |
Registered Office Street Address ZIP Code: | 35213 |
Authorized Capital: | 100 |
Activities
MEDICAL PRACTICE
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1346470432 | 2009-07-23 | 2010-06-15 | 840 MONTCLAIR RD, SUITE 722, BIRMINGHAM, AL, 352131920, US | 840 MONTCLAIR RD, SUITE 722, BIRMINGHAM, AL, 352131920, US | |||||||||||||||||||
|
Phone | +1 205-591-2311 |
Fax | 2055923531 |
Authorized person
Name | DR. KENNETH RANDALL SMITH |
Role | CEO/SURGEON |
Phone | 2055912311 |
Taxonomy
Taxonomy Code | 207W00000X - Ophthalmology Physician |
License Number | MD.29630 |
State | AL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
SMITH, KENNETH RANDALL | Agent | 975 CARRINGTON DRIVEMOUNT OLIVE, AL 35117 |
Name | Role | Address |
---|---|---|
SMITH, KENNETH RANDALL | Incorporator | 975 CARRINGTON DRIVEMOUNT OLIVE, AL 35117 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State