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CHOONG R. KIM, M.D., P.S.

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Company Details

Legal Name: CHOONG R. KIM, M.D., P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: April 15th 1996
Date of Dissolution: September 3rd 2023
Expiration date: 30 Apr 2023
UBI Number: 601 705 671
ZIP code: 98632
City: Longview
County: COWLITZ
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1615 DELAWARE ST, LONGVIEW, WA, 98632-2367, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $42,212

Contact Details

E-Mail: MDCRKIM@GMAIL.COM
Phone Number: +1 360-213-5476

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
CHOONG R KIM MD Registered Agent 1615 DELEWARE ST, LONGVIEW, WA, 98632-0000, UNITED STATES

Key Officers & Management

Name Role Address
CHOONG KIM Governing Person 28306 NE 24TH AVE, RIDGEFIELD, WA, 98642, UNITED STATES

National Provider Identifier

NPI Number:
1952409922

Authorized Person:

Name:
CHOONG R. KIM
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
2085R0001X - Radiation Oncology Physician
Is Primary:
Yes

Contacts:

Fax:
3606366744
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