Search icon

Hayden Lake Anesthesia PLLC

Company claim

Is this your business?

Get access!

Company Details

Name: Hayden Lake Anesthesia PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 21 Feb 2025 (5 months ago)
Financial Date End: 28 Feb 2026
Entity Number: 6115601
Place of Formation: IDAHO
File Number: 979459
ZIP code: 83835
County: Kootenai County
Principal Address: BRIAN CARROLL 8552 NORTH GOVERNMENT WAY HAYDEN, ID 83835
Mailing Address: BRIAN CARROLL 13618 E REDLIN DR SPOKANE VALLEY, WA 99216-2427

Agent

Name Role Address
Kyle Shibley Agent 7407 N MOUNT CARROL ST, DALTON GARDENS, ID 83815-9505

National Provider Identifier

NPI Number:
1134926181
Certification Date:
2025-02-27

Authorized Person:

Name:
KYLE THOMAS SHIBLEY
Role:
MANAGING PARTNER
Phone:

Taxonomy:

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

Contacts:

Filing

Filing Name Filing Number Filing date
Initial Filing 0006115601 2025-02-21

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 22 Jun 2025

Sources: Idaho Secretary of State