| Name: | Keithley Family Medical Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 04 Feb 2014 (11 years ago) (Companies founded in February 2014) |
| Entity Number: | 000-328-182 |
| Register Number: | 000328182 |
| ZIP code: | 35810 (Companies in Madison, 35810) |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | 2599 SPARKMAN DRIVE SUITE BHUNTSVILLE, AL 35810 |
| Registered Office Street Address: | 8313 WHITESBURG WAY APARTMENT 601HUNTSVILLE, AL 35802 |
| Authorized Capital: | 1000 @ NPV |
Activities
MEDICAL OFFICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528463783 | 2014-10-30 | 2014-10-30 | 8210 STEPHANIE DR SW, SUITE A, HUNTSVILLE, AL, 358023000, US | 8210 STEPHANIE DR SW, SUITE A, HUNTSVILLE, AL, 358023000, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 256-881-7579 |
| Fax | 2568817580 |
Authorized person
| Name | LARRY KEITHLEY |
| Role | CEO |
| Phone | 2568817579 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | DO411 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KEITHLEY, DEBRA | Agent | 8313 WHITESBURG WAY APARTMENT 601HUNTSVILLE, AL 35802 |
| Name | Role | Address |
|---|---|---|
| KEITHLEY, DEBRA | Director | 8313 WHITESBURG WAY APARTMENT 601HUNTSVILLE, AL 35802 |
| KEITHLEY, LARRY | Director | 8313 WHITESBURG WAY APARTMENT 601HUNTSVILLE, AL 35802 |
| Name | Role | Address |
|---|---|---|
| KEITHLEY, DEBRA | Incorporator | 8313 WHITESBURG WAY APARTMENT 601HUNTSVILLE, AL 35802 |
| KEITHLEY, LARRY | Incorporator | 8313 WHITESBURG WAY APARTMENT 601HUNTSVILLE, AL 35802 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
