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KKB MEDICAL, P.C.

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Company Details

Name: KKB MEDICAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 04 Feb 2008 (17 years ago)
Entity Number: 3626683
ZIP code: 10021
County: New York
Place of Formation: New York
Address: 1317 THIRD AVENUE, 9TH FLOOR, NEW YORK, NY, United States, 10021
Principal Address: 1317 THIRD AVE, 9TH FLR, NEW YORK, NY, United States, 10021

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
PETER S KIM MD Chief Executive Officer 1317 THIRD AVE, 9TH FLR, NEW YORK, NY, United States, 10021

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1317 THIRD AVENUE, 9TH FLOOR, NEW YORK, NY, United States, 10021

National Provider Identifier

NPI Number:
1659559888

Authorized Person:

Name:
DR. PETER SUNG WON KIM
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
140328002088 2014-03-28 BIENNIAL STATEMENT 2014-02-01
120320002278 2012-03-20 BIENNIAL STATEMENT 2012-02-01
100222002899 2010-02-22 BIENNIAL STATEMENT 2010-02-01
080204000527 2008-02-04 CERTIFICATE OF INCORPORATION 2008-02-04

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State