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KYLE HAZELWOOD, M.D., PLLC

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Company Details

Legal Name: KYLE HAZELWOOD, M.D., PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Delinquent
Formation/ Registration Date: June 12th 2017
Expiration date: 30 Jun 2025
UBI Number: 604 134 122
ZIP code: 99163
City: Pullman
County: WHITMAN
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 825 SE BISHOP BLVD, PULLMAN, WA, 99163, UNITED STATES

Contact Details

E-Mail: KHAZELWOODMD@GMAIL.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
LLC MANAGEMENT SERVICES LLC Registered Agent 145 3RD AVE S STE 200, EDMONDS, WA, 98020-3593, UNITED STATES

Key Officers & Management

Name Role
KYLE HAZELWOOD Governing Person

National Provider Identifier

NPI Number:
1952831083

Authorized Person:

Name:
DR. KYLE HAZELWOOD
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207XX0005X - Sports Medicine (Orthopaedic Surgery) Physician
Is Primary:
Yes

Contacts:

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