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KENT M. ARCHIBALD, P.A.

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Company Details

Name: KENT M. ARCHIBALD, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 30 Sep 1983 (42 years ago)
Financial Date End: 30 Sep 2021
Date dissolved: 24 Dec 2021
Entity Number: 232334
Place of Formation: IDAHO
File Number: 232334
ZIP code: 83440
County: Madison County
Mailing Address: 39 PROFESSIONAL PLZ REXBURG, ID 83440-2024

Agent

Name Role Address
DR. KENT M. ARCHIBALD Agent 76 PROFESSIONAL PLAZA, REXBURG, ID 83440

President

Name Role Address Appointed On
KENT M ARCHIBALD President 76 PROFESSIONAL PLAZA, REXBURG, ID 83440 2020-08-04

National Provider Identifier

NPI Number:
1447579123

Authorized Person:

Name:
DR. KENT M ARCHIBALD
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
152W00000X - Optometrist
Is Primary:
Yes

Contacts:

Fax:
2083564587

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0004540843 2021-12-24
Annual Report 0003956501 2020-08-04
Annual Report 0003668824 2019-11-05
Annual Report 0001855980 2018-07-31
Annual Report 0001855978 2017-10-23

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Date of last update: 26 Jun 2025

Sources: Idaho Secretary of State