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KENNETH KILLPACK, DDS, P.C.

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Company Details

Legal Name: KENNETH KILLPACK, DDS, P.C.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: April 15th 2019
Expiration date: 30 Apr 2026
UBI Number: 604 441 152
ZIP code: 98684
City: Vancouver
County: CLARK
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 13503 SE MILL PLAIN BLVD STE B2, VANCOUVER, WA, 98684-6992, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 629 DAVIS DR, STE 300, MORRISVILLE, NC, 27560-7888, UNITED STATES

Contact Details

E-Mail: LICENSES@AFFORDABLECARE.COM
Phone Number: +1 919-341-4211

Nature of Business

Health Care, Social Assistance & Service Organization, DENTAL SERVICES

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Registered Agent Information

Name Role
NATIONAL REGISTERED AGENTS, INC. Registered Agent

Key Officers & Management

Name Role Address
KENNETH KILLPACK, DDS Governing Person -
KENNETH KILLPACK INCORPORATOR 13503 SE MILL PLAIN BLVD STE B2, VANCOUVER, WA, 98684-6992, UNITED STATES

National Provider Identifier

NPI Number:
1508698374
Certification Date:
2024-08-19

Authorized Person:

Name:
KENNETH KILLPACK
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$76,727
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$76,727
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$77,719.2
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $76,727
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