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KRISTY KUEHFUSS, PHD, PLLC

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Company Details

Name: KRISTY KUEHFUSS, PHD, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 22 Dec 2008 (16 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 250366
Place of Formation: IDAHO
File Number: 250366
ZIP code: 83501
County: Nez Perce County
Principal Address: 3425 SYRINGA DR LEWISTON, ID 83501
Mailing Address: 1418 GRELLE AVE LEWISTON, ID 83501-5830

Agent

Name Role Address
KRISTY KUEHFUSS PHD Agent 1418 GRELLE AVE, LEWISTON, ID 83501

Manager

Name Role Address Appointed On
Kristy Kuehfuss Manager 1418 GRELLE AVE, LEWISTON, ID 83501 2021-07-14

National Provider Identifier

NPI Number:
1063731586
Certification Date:
2024-12-05

Authorized Person:

Name:
KRISTY KUEHFUSS
Role:
PSYCHOLOGIST/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005962708 2024-11-04
Annual Report 0005472438 2023-11-08
Annual Report 0004973092 2022-11-03
Annual Report 0004479988 2021-11-03
Application for Reinstatement 0004349908 2021-07-14

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Date of last update: 30 May 2025

Sources: Idaho Secretary of State