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KSP HEALTH - NY LLC

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Company Details

Name: KSP HEALTH - NY LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 12 Dec 2023 (2 years ago)
Entity Number: 7202887
ZIP code: 67206
County: Albany
Place of Formation: New York
Address: 6446 E Central Ave Ste: 183, Wichita, KS, United States, 67206

DOS Process Agent

Name Role Address
KSP Health - NY LLC DOS Process Agent 6446 E Central Ave Ste: 183, Wichita, KS, United States, 67206

National Provider Identifier

NPI Number:
1740050608
Certification Date:
2024-01-02

Authorized Person:

Name:
DR. MUTHUKUMAR VELLAICHAMY
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
163WP0200X - Pediatric Registered Nurse
Is Primary:
No
Selected Taxonomy:
207NP0225X - Pediatric Dermatology Physician
Is Primary:
No
Selected Taxonomy:
2080A0000X - Pediatric Adolescent Medicine Physician
Is Primary:
No
Selected Taxonomy:
2080P0006X - Developmental - Behavioral Pediatrics Physician
Is Primary:
No
Selected Taxonomy:
2080P0202X - Pediatric Cardiology Physician
Is Primary:
No

Contacts:

Filings

Filing Number Date Filed Type Effective Date
231212002217 2023-12-12 ARTICLES OF ORGANIZATION 2023-12-12

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Date of last update: 20 Mar 2025

Sources: New York Secretary of State