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William W. Kettunen, M.D., LLC

Details

Name: William W. Kettunen, M.D., LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 23 Jul 2013 (11 years ago) (Companies founded in July 2013)
Entity Number: 000-283-063
Register Number: 000283063
ZIP code: 36330 (Companies in Coffee, 36330)
County: Coffee
Place of Formation: Coffee County
Registered Office Street Address: 101 EAST BRUNSON STREET SUITE 110ENTERPRISE, AL 36330

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1255763348 2013-07-31 2013-07-31 101 E BRUNSON ST, SUITE 110, ENTERPRISE, AL, 363302526, US 101 E BRUNSON ST, SUITE 110, ENTERPRISE, AL, 363302526, US

Contacts

Phone +1 334-347-9355

Authorized person

Name WILLIAM W KETTUNEN
Role MD
Phone 3343479355

Taxonomy

Taxonomy Code 208600000X - Surgery Physician
License Number MD32691
State AL
Is Primary Yes

Agent

Name Role
KETTUNEN, WILIAM W Agent

Organizer

Name Role Address
KETTUNEN, WILLIAM W Organizer 75 COUNTY ROAD 752ENTERPRISE, AL 36330

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State