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KITTITAS ANESTHESIA, LLC

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Company Details

Legal Name: KITTITAS ANESTHESIA, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Voluntarily Dissolved
Formation/ Registration Date: March 31st 2005
Date of Dissolution: February 5th 2024
Expiration date: 31 Mar 2024
UBI Number: 602 488 859
ZIP code: 98926
City: Ellensburg
County: KITTITAS
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2100 PAYNE RD, ELLENSBURG, WA, 98926-7898, UNITED STATES

Contact Details

E-Mail: RLMCGEE@ME.COM
Phone Number: +1 509-899-9083

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
RANDY MCGEE Registered Agent 2100 PAYNE RD, ELLENSBURG, WA, 98926-7898, UNITED STATES

Key Officers & Management

Name Role Address
RANDY L MCGEE Governing Person 2100 PAYNE RD, ELLENSBURG, WA, 98926, UNITED STATES
KEN GANO Governing Person 2100 PAYNE RD, ELLENSBURG, WA, 98926, UNITED STATES
BILLIE SCOTT Governing Person -

National Provider Identifier

NPI Number:
1427647643
Certification Date:
2021-01-12

Authorized Person:

Name:
DALILA FAIRCHILD
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
367500000X - Certified Registered Nurse Anesthetist
Is Primary:
Yes

Contacts:

Fax:
2085238978
Fax:
5099627413
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