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KOOTENAI KIDS PEDIATRICS PLLC

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Company Details

Name: KOOTENAI KIDS PEDIATRICS PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 15 Jun 2012 (13 years ago)
Financial Date End: 30 Jun 2013
Date dissolved: 10 Sep 2013
Entity Number: 353182
Place of Formation: IDAHO
File Number: 0000353182
ZIP code: 83854
County: Kootenai County
Principal Address: 761 NORTH THORNTON AVE STE A POST FALLS, ID 83854

National Provider Identifier

NPI Number:
1053675629

Authorized Person:

Name:
DR. KENNETH AKEY
Role:
OWNER/PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
2080A0000X - Pediatric Adolescent Medicine Physician
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Registered Agent Resignation from an Entity 0002506873 2016-08-09
Initial Filing 0000353182 2012-06-15

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Date of last update: 25 Sep 2024

Sources: Idaho Secretary of State