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KELLY M. FARROW, FAMILY HEALTH NURSE PRACTITIONER P.C.

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Company Details

Name: KELLY M. FARROW, FAMILY HEALTH NURSE PRACTITIONER P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 24 Jul 2024 (a year ago)
Entity Number: 7381813
ZIP code: 14580
County: Monroe
Place of Formation: New York
Address: 1900 EMPIRE BOULEVARD, UPS, SUITE 195, WEBSTER, NY, United States, 14580

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1900 EMPIRE BOULEVARD, UPS, SUITE 195, WEBSTER, NY, United States, 14580

National Provider Identifier

NPI Number:
1194559492
Certification Date:
2025-05-13

Authorized Person:

Name:
KELLY M FARROW
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
5853263025

Filings

Filing Number Date Filed Type Effective Date
240725001039 2024-07-24 CERTIFICATE OF INCORPORATION 2024-07-24

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State