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KEVIN DOOMS, M.D., PLLC

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Company Details

Legal Name: KEVIN DOOMS, M.D., PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: September 15th 2023
Expiration date: 30 Sep 2025
UBI Number: 605 330 839
ZIP code: 98103
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 8015 DENSMORE AVE N UNIT D, SEATTLE, WA, 98103-4436, UNITED STATES

Contact Details

E-Mail: KEVIN.DOOMS@GMAIL.COM
Phone Number: +1 425-999-2997

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
KEVIN DOOMS Registered Agent 8015 DENSMORE AVE N UNIT D, SEATTLE, WA, 98103-4436, UNITED STATES

Key Officers & Management

Name Role Address
KRISTI KIYONAGA Executor 8015 DENSMORE AVE N UNIT D, SEATTLE, WA, 98103-4436, UNITED STATES
KEVIN DOOMS Governing Person 8015 DENSMORE AVE N, UNIT D, SEATTLE, WA, 98103-4436, UNITED STATES

National Provider Identifier

NPI Number:
1174800593

Authorized Person:

Name:
DR. KEVIN TODD DOOMS
Role:
PHYSICIAN, SOLE MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
261QM2500X - Medical Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
4254558391
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