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KENT N SULLIVAN MD, PLLC

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Company Details

Legal Name: KENT N SULLIVAN MD, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: February 1st 2016
Date of Dissolution: July 3rd 2018
Expiration date: 28 Feb 2018
UBI Number: 603 589 120
ZIP code: 98155
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 19219 51ST AVE NE, LAKE FOREST PARK, WA, 98155, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $1,773

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Registered Agent Information

Name Role Address
HOLMAN KAUFMAN KRAHLING PLLC Registered Agent 12330 NE 8TH ST STE 101, BELLEVUE, WA, 98005-0000, UNITED STATES

Key Officers & Management

Name Role Address
KENT SULLIVAN Governing Person 19219 51ST AVE NE, LAKE FOREST PARK, WA, 98155, UNITED STATES

National Provider Identifier

NPI Number:
1386004638

Authorized Person:

Name:
DR. KENT N SULLIVAN
Role:
PHYSICIAN OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207RP1001X - Pulmonary Disease Physician
Is Primary:
Yes

Contacts:

Fax:
2065270147
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