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KEZELE ANESTHETICS, P.C.

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Company Details

Name: KEZELE ANESTHETICS, P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 24 Feb 1997 (28 years ago)
Financial Date End: 28 Feb 2026
Entity Number: 363754
Place of Formation: IDAHO
File Number: 363754
ZIP code: 83263
County: Franklin County
Mailing Address: 104 N BEAR RIVER BLFS PRESTON, ID 83263-5184

Agent

Name Role Address
JOHN T KEZELE Agent 104 N BEAR RIVER BLFS, PRESTON, ID 83263

President

Name Role Address Appointed On
John T Kezele President 104 N BEAR RIVER BLFS, PRESTON, ID 83263 2021-01-03

National Provider Identifier

NPI Number:
1780062588

Authorized Person:

Name:
MR. JOHN THOMAS KEZELE III
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
367500000X - Certified Registered Nurse Anesthetist
Is Primary:
Yes

Contacts:

Fax:
2088527173

Filing

Filing Name Filing Number Filing date
Annual Report 0006047901 2025-01-04
Annual Report 0005605638 2024-02-16
Annual Report 0005061151 2023-01-11
Annual Report 0004598905 2022-02-07
Annual Report 0004113943 2021-01-03

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Date of last update: 03 Jun 2025

Sources: Idaho Secretary of State