| Name: | MK Pain Services, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 19 Jan 2023 (2 years ago) (Companies founded in January 2023) |
| Entity Number: | 001-058-457 |
| Register Number: | 001058457 |
| ZIP code: | 35150 (Companies in Talladega, 35150) |
| County: | Talladega |
| Place of Formation: | Alabama |
| Principal Address: | c/o Coosa Valley Anesthesiology315 West Hickory StreetSylacauga, AL 35150 |
| Registered Office Street Address: | 315 West Hickory StreetSylacauga, AL 35150 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699470328 | 2023-04-03 | 2023-04-03 | PO BOX 661495, BIRMINGHAM, AL, 352661495, US | 315 W HICKORY ST, SYLACAUGA, AL, 351502913, US | |||||||||||||||||||
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| Phone | +1 205-979-5882 |
| Fax | 2059791248 |
| Phone | +1 256-401-4467 |
| Fax | 2564014470 |
Authorized person
| Name | DR. MATTHEW DARRELL KIMBALL |
| Role | ANESTHESIOLOGIST |
| Phone | 2057189777 |
Taxonomy
| Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Kimball, Matthew | Agent |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
