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Kenneth R. Smith, P.C.

Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
SMITH, KENNETH RANDALL Agent 975 CARRINGTON DRIVEMOUNT OLIVE, AL 35117

Incorporator

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