| Name: | Kids Klinic, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 18 Sep 2023 (a year ago) |
| Entity Number: | 001-099-780 |
| Register Number: | 001099780 |
| County: | Marshall |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 3686 US HWY 431 SOUTHALBERTVILLE, AL 35950 |
| Registered Office Street Address ZIP Code: | 35950 |
| Registered Office Mailing Address: | 111 COUNTY RD. 208BOAZ, AL 35957 |
| Registered Office Mailing Address ZIP Code: | 35957 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598544066 | 2023-09-25 | 2023-10-06 | 111 COUNTY ROAD 208, BOAZ, AL, 359577603, US | 3683 US HIGHWAY 431, ALBERTVILLE, AL, 359500240, US | |||||||||||||||||
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| Phone | +1 256-558-2636 |
| Phone | +1 256-849-0436 |
| Fax | 2568490769 |
Authorized person
| Name | MRS. LINDSAY RENAE MILLER |
| Role | CRNP |
| Phone | 2565582636 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| LINDSAY MILLER | Agent |
Date of last update: 18 Aug 2024
Sources: Alabama Secretary of State
