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McDonald Family Practice and Telehealth LLC

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Company Details

Name: McDonald Family Practice and Telehealth LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 19 Dec 2023 (2 years ago)
Financial Date End: 31 Dec 2025
Date dissolved: 09 Feb 2025
Entity Number: 5522585
Place of Formation: IDAHO
File Number: 912253
ZIP code: 83858
County: Kootenai County
Principal Address: 12750 N CAVANAUGH DR. RATHDRUM, ID 83858
Mailing Address: 12750 N CAVANAUGH DR RATHDRUM, ID 83858-5222

Agent

Name Role Address
Freddy L McDonald Agent 12750 N CAVANAUGH DR, RATHDRUM, ID 83858

Managing Member

Name Role Address Appointed On
Kayle L McDonald Managing Member 12750 N CAVANAUGH DR., RATHDRUM, ID 83858 2025-01-18

National Provider Identifier

NPI Number:
1740059732
Certification Date:
2024-01-01

Authorized Person:

Name:
MRS. KAYLE LYNN MCDONALD
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0006102698 2025-02-09
Annual Report 0006074488 2025-01-18
Initial Filing 0005522585 2023-12-19

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Date of last update: 11 Jul 2025

Sources: Idaho Secretary of State