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NORTH KITSAP PEDIATRICS, PS

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Company Details

Legal Name: NORTH KITSAP PEDIATRICS, PS
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: November 29th 2007
Date of Dissolution: March 2nd 2015
Expiration date: 30 Nov 2014
UBI Number: 602 783 192
ZIP code: 98370
City: Poulsbo
County: KITSAP
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 19717 FRONT STREET NE, POULSBO, WA, 98370, UNITED STATES

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Registered Agent Information

Name Role Address
KITSAP CORPORATE SERVICES INC Registered Agent 19717 FRONT ST NE, POULSBO, WA, 98370, UNITED STATES

Key Officers & Management

Name Role Address
BERNIE BROWN Governing Person 4 HERON RD, PORT LUDLOW, WA, 98365-9300, UNITED STATES

National Provider Identifier

NPI Number:
1730208026

Authorized Person:

Name:
DR. BERNIE JAY BROWN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
3607797054
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