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KUNA FAMILY MEDICAL CLINIC, P.A.

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Company Details

Name: KUNA FAMILY MEDICAL CLINIC, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved
Date of registration: 17 May 1994 (31 years ago)
Financial Date End: 31 May 2016
Date dissolved: 03 Apr 2015
Entity Number: 328149
Place of Formation: IDAHO
File Number: 0000328149
ZIP code: 83634
County: Ada County
Mailing Address: 708 E WYTHE CREEK CT. STE. 103 KUNA, ID 83634

National Provider Identifier

NPI Number:
1740326990

Authorized Person:

Name:
MRS. MYRNA C. FISHER
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
2089225132

Filing

Filing Name Filing Number Filing date
Articles of Dissolution 0000857442 2015-04-03
Annual Report 0002382641 2015-03-28
Annual Report 0002382639 2014-03-26
Annual Report 0002382637 2013-03-18
Annual Report 0002382652 2012-03-09

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Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State