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KELVIN K. MA, M.D., INC. P.S.

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Company Details

Legal Name: KELVIN K. MA, M.D., INC. P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: March 31st 1997
Date of Dissolution: August 3rd 2018
Expiration date: 31 Mar 2018
UBI Number: 601 780 436

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Registered Agent Information

Name Role Address
KELVIN K MA MD Registered Agent 201 15TH AVE SW # D, PUYALLUP, WA, 98371-0000, UNITED STATES

Key Officers & Management

Name Role Address
KELVIN MA Governing Person 201 15TH AVE SW, #D, PUYALLUP, WA, 98371, UNITED STATES

National Provider Identifier

NPI Number:
1699878082

Authorized Person:

Name:
KELVIN K MA
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
2084N0400X - Neurology Physician
Is Primary:
No
Selected Taxonomy:
2084N0400X - Neurology Physician
Is Primary:
Yes

Contacts:

Fax:
2538403352
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