| Name: | Kids First Pediatric Urgent Care LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Series Limited Liability Company |
| Status: | Exists |
| Date of registration: | 03 Dec 2019 (5 years ago) (Companies founded in December 2019) |
| Entity Number: | 000-594-621 |
| Register Number: | 000594621 |
| ZIP code: | 35633 (Companies in Lauderdale, 35633) |
| County: | Lauderdale |
| Place of Formation: | Lauderdale County |
| Registered Office Street Address: | 20 COUNTY ROAD 249FLORENCE, AL 35633 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780214189 | 2020-01-24 | 2020-07-09 | PO BOX 2874, FLORENCE, AL, 356300022, US | 2530 FLORENCE BLVD STE D, FLORENCE, AL, 356302807, US | |||||||||||||||||||
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| Phone | +1 256-802-1500 |
Authorized person
| Name | LAKEVA BENA CASEY |
| Role | OWNER |
| Phone | 2567023981 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | LICENSE |
| Number | 1-130759 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| HARRIS, LAKEVA | Agent | 20 COUNTY ROAD 249FLORENCE, AL 35633 |
| Name | Role | Address |
|---|---|---|
| HARRIS, LAKEVA | Organizer | 20 COUNTY ROAD 249FLORENCE, AL 35633 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
