Search icon

KITSAP GASTRO AND LIVER CLINIC, PLLC

Company claim

Is this your business?

Get access!

Company Details

Legal Name: KITSAP GASTRO AND LIVER CLINIC, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: January 6th 2022
Expiration date: 31 Jan 2026
UBI Number: 604 851 872
ZIP code: 98370
City: Poulsbo
County: KITSAP
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 22180 OLYMPIC COLLEGE WAY NW STE 204, POULSBO, WA, 98370-6664, UNITED STATES

Contact Details

E-Mail: ADMIN@KITSAPGASTRO.COM
Phone Number: +1 360-447-8951

Nature of Business

Health Care, Social Assistance & Service Organization

Reviews Leave a review

Be the first to leave a review!

Registered Agent Information

Name Role Address
LUCKY ADIKE Registered Agent 22180 OLYMPIC COLLEGE WAY NW, SUITE 204, POULSBO, WA, 98370-6664, UNITED STATES

Key Officers & Management

Name Role Address
MORGAN NOBLE Executor 522 W RIVERSIDE AVE STE N, SPOKANE, WA, 99201-0580, UNITED STATES
ABIMBOLA ADIKE Governing Person -

National Provider Identifier

NPI Number:
1013668524
Certification Date:
2022-03-02

Authorized Person:

Name:
DR. ABIMBOLA ADIKE
Role:
PHYSICIAN OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207RI0008X - Hepatology Physician
Is Primary:
No
Selected Taxonomy:
207RT0003X - Transplant Hepatology Physician
Is Primary:
No
Selected Taxonomy:
207RG0100X - Gastroenterology Physician
Is Primary:
Yes

Contacts:

History

Type Old value New value Date of change
Name change KITSAP GASTRO AND LIVER CLINIC, LLC KITSAP GASTRO AND LIVER CLINIC, PLLC 2022-02-11
See something incorrect or outdated? Let us know