Name: | Kids Cove Pediatrics PLLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Limited Liability Company |
Status: | Exists |
Date of registration: | 20 Sep 2019 (5 years ago) (Companies founded in September 2019) |
Entity Number: | 000-587-833 |
Register Number: | 000587833 |
ZIP code: | 35748 (Companies in Madison, 35748) |
County: | Madison |
Place of Formation: | Madison County |
Registered Office Street Address: | 19 Abby Glen WayGurley, AL 35748 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1326699190 | 2019-09-24 | 2022-04-01 | 5729 COVE COMMONS DRIVE SE SUITE C, BROWNSBORO, AL, 35741, US | 5729 COVE COMMONS DRIVE SE SUITE C, BROWNSBORO, AL, 35741, US | |||||||||||||||
|
Phone | +1 256-367-2686 |
Fax | 2562920114 |
Authorized person
Name | RHONDA B GRAHAM |
Role | PEDIATRICIAN |
Phone | 2563672686 |
Taxonomy
Taxonomy Code | 208000000X - Pediatrics Physician |
Is Primary | Yes |
Name | Role |
---|---|
Graham, Keith | Agent |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State