| Name: | Kelly Lambeth, CRNP, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 26 Oct 2012 (12 years ago) |
| Entity Number: | 000-269-026 |
| Register Number: | 000269026 |
| ZIP code: | 36562 |
| County: | Baldwin |
| Place of Formation: | Escambia County |
| Registered Office Street Address: | 326 COURTHOUSE SQUAREBAY MINETTE, AL 36507 |
| Principal Address: | 55621 LOTTIE ROADPERDIDO, AL 36562 |
Activities
PRIMARY MEDICAL CARE
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | Kelly Lambeth, CRNP, LLC, FLORIDA | M22000009501 | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164831525 | 2014-08-10 | 2019-08-08 | 55621 LOTTIE RD, PERDIDO, AL, 365623025, US | 55621 LOTTIE RD, PERDIDO, AL, 365623025, US | |||||||||||||
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| Phone | +1 251-583-8408 |
Authorized person
| Name | MRS. KELLY C LAMBETH |
| Role | OWNER |
| Phone | 2515838408 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LAMBETH, KELLY | Organizer | 55621 LOTTIE ROADPERDIDO, AL 36562 |
| Name | Role |
|---|---|
| T JASON HADLEY | Agent |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
