KITSAP OBGYN PLLC

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Company Details

Legal Name:	KITSAP OBGYN PLLC
Jurisdiction:	WASHINGTON
Entity Type:	WA LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	February 9th 2015
Expiration date:	28 Feb 2026
UBI Number:	603 475 941
ZIP code:	98383
City:	Silverdale
County:	KITSAP
Home State:	WASHINGTON
Principal Office Street Address:	9750 LEVIN RD NW, SILVERDALE, WA, 98383-8399, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$6,072

Contact Details

E-Mail:	KATHYW@KITSAPOBGYN.COM
Phone Number:	+1 360-698-3437

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
KATHY WENZLICK	Registered Agent	9750 LEVIN RD NW, SILVERDALE, WA, 98383-0000, UNITED STATES

Key Officers & Management

Name	Role	Address
JENNIFER C QUIMBY MD INC PS	Governing Person	9750 LEVIN RD SW, SILVERDALE, WA, 98383, UNITED STATES
KATHERINE KATHERINE J HEBARD MD INC PS	Governing Person	9750 LEVIN RD SW, SILVERDALE, WA, 98383, UNITED STATES
AMITY AMITY MARRIOTT MD PS	Governing Person	-
AARON SWENSON	Governing Person	-

National Provider Identifier

NPI Number:

1366835399

Link:

View on NPI website

Authorized Person:

Name:

SHERYL BRATCHER

Role:

BILLING SPECIALIST

Phone:

3606986515

Taxonomy:

Selected Taxonomy:

174400000X - Specialist

Is Primary:

Yes

Contacts:

Phone:

+1 360-307-7202

Fax:

3606986594

Form 5500 Series

Employer Identification Number (EIN):

473031124

Plan Year:

2023

Number Of Participants:

54

Plan Name:

401(K)

Sponsor's telephone number:

3603077202

File:

Plan Year:

2022

Number Of Participants:

51

Plan Name:

401(K)

Sponsor's telephone number:

3603077202

File:

Plan Year:

2021

Number Of Participants:

49

Plan Name:

401(K)

Sponsor's telephone number:

3603077202

File:

Plan Year:

2021

Number Of Participants:

49

Plan Name:

401(K)

Sponsor's telephone number:

3603077202

Plan Year:

2020

Number Of Participants:

48

Plan Name:

401(K)

Sponsor's telephone number:

3603077202

File:

Paycheck Protection Program

Jobs Reported:

29

Initial Approval Amount:

$309,160

Date Approved:

2020-04-27

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$309,160

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$312,105.61

Servicing Lender:

Kitsap Bank

Use of Proceeds:

Payroll: $309,160

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