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KMC NURSE PRACTITIONER IN ADULT HEALTH PLLC

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Company Details

Name: KMC NURSE PRACTITIONER IN ADULT HEALTH PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 13 Feb 2024 (a year ago)
Entity Number: 7254938
ZIP code: 14001
County: Erie
Place of Formation: New York
Address: 1119 howe road, AKRON, NY, United States, 14001

DOS Process Agent

Name Role Address
the llc DOS Process Agent 1119 howe road, AKRON, NY, United States, 14001

National Provider Identifier

NPI Number:
1295570034
Certification Date:
2024-07-11

Authorized Person:

Name:
KYM CANNIZZARO
Role:
OWNER/NP
Phone:

Taxonomy:

Selected Taxonomy:
363LA2200X - Adult Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
7167594939

History

Start date End date Type Value
2024-02-14 2024-04-29 Address 1119 howe road, AKRON, NY, 14001, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240429003492 2024-04-26 CERTIFICATE OF PUBLICATION 2024-04-26
240214003374 2024-02-13 ARTICLES OF ORGANIZATION 2024-02-13

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State