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Kairos Integrative Health LLC

Details

Name: Kairos Integrative Health LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 13 May 2024 (6 months ago) (Companies founded in May 2024)
Entity Number: 001-136-079
Register Number: 001136079
ZIP code: 35217 (Companies in Jefferson, 35217)
County: Jefferson
Place of Formation: Alabama
Registered Office Street Address: 736 North Pine Hill Rd.Birmingham, AL 35217

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1114767100 2024-05-29 2024-05-29 736 N PINE HILL RD, BIRMINGHAM, AL, 352171135, US 736 N PINE HILL RD, BIRMINGHAM, AL, 352171135, US

Contacts

Phone +1 205-541-9756

Authorized person

Name MARK MERRITT
Role CEO/PMHNP
Phone 2055419756

Taxonomy

Taxonomy Code 2084P0800X - Psychiatry Physician
Is Primary Yes

Agent

Name Role Address
Merritt, Mark A Agent 1502 Atria Circle, Apt 1207Raleigh, NC 27604

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State