| Name: | Kevin D. Campbell, CRNP, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 21 Jul 2021 (3 years ago) (Companies founded in July 2021) |
| Entity Number: | 000-874-336 |
| Register Number: | 000874336 |
| ZIP code: | 35601 (Companies in Morgan, 35601) |
| County: | Morgan |
| Place of Formation: | Alabama |
| Principal Address: | 2828 Hwy 31S, Suite 107Decatur, AL 35601 |
| Authorized Capital: | 5000 |
| Paid Share Capital: | 1.00 |
Activities
See attachment.
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487320917 | 2021-08-16 | 2021-08-16 | 2828 HIGHWAY 31 S, DECATUR, AL, 356031538, US | 2828 HIGHWAY 31 S, DECATUR, AL, 356031538, US | |||||||||||||
|
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| Phone | +1 256-353-2000 |
Authorized person
| Name | SHERILL MODESTE |
| Role | OFFICE MANAGER |
| Phone | 2562706003 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Campbell, Kevin D | Agent | 2922 Breckenridge Ct. SWDecatur, AL 35603 |
| Name | Role | Address |
|---|---|---|
| Campbell, Kevin D | Incorporator | 2922 Breckenridge Ct. SWDecatur, AL 35603 |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
