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Kids Cove Pediatrics PLLC

Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role
Graham, Keith Agent

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State