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HAZELTREE MIDWIFERY PLLC

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Company Details

Name: HAZELTREE MIDWIFERY PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 24 Mar 2014 (11 years ago)
Financial Date End: 31 Mar 2026
Entity Number: 414920
Place of Formation: IDAHO
File Number: 414920
ZIP code: 83858
County: Kootenai County
Principal Address: 6456 W KAMLOOPS DR RATHDRUM, ID 83858
Mailing Address: KIMBERLY PALMER STE C 2201 N. GOVERNMENT WAY COEUR D'ALENE, ID 83814

Agent

Name Role Address
KIMBERLY K PALMER, LM CPM Agent 6456 W KAMLOOPS DR, RATHDRUM, ID 83858

Member

Name Role Address Appointed On
Kimberly K Palmer Member 6456 W KAMLOOPS DR, RATHDRUM, ID 83858 2021-06-15

National Provider Identifier

NPI Number:
1548742679
Certification Date:
2024-09-28

Authorized Person:

Name:
KIMBERLY KAY PALMER
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
176B00000X - Midwife
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006167063 2025-03-21
Annual Report 0005659504 2024-03-26
Annual Report 0005114559 2023-02-13
Annual Report 0004661374 2022-03-15
Dissolution/Revocation - Administrative 0004315680 2021-06-15

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Date of last update: 30 Jun 2025

Sources: Idaho Secretary of State