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GREGORY KEYES, M.D., P.S.

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Company Details

Legal Name: GREGORY KEYES, M.D., P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: September 29th 2003
Date of Dissolution: February 3rd 2021
Expiration date: 30 Sep 2020
UBI Number: 602 330 843
ZIP code: 98110
City: Bainbridge Island
County: KITSAP
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 123 BJUNE DR SE, STE 101, BAINBRIDGE IS, WA, 98110-2459, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $12,115

Contact Details

E-Mail: LAURIE@MEMBERPLUS.MD
Phone Number: +1 206-842-3222

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
LAURIE ISENMAN Registered Agent 123 BJUNE DR SE STE 101, BAINBRIDGE ISLAND, WA, 98110-2503, UNITED STATES

Key Officers & Management

Name Role Address
GREGORY KEYES Governing Person -
LAURIE ISENMAN Governing Person 175 PARFITT WAY SW STE S125, BAINBRIDGE IS, WA, 98110-4910, UNITED STATES

National Provider Identifier

NPI Number:
1174623383

Authorized Person:

Name:
GREGORY KEYES
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2068421877
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