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WA-SPOK KIDNEY CARE, LLC

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Company Details

Legal Name: WA-SPOK KIDNEY CARE, LLC
Jurisdiction: WASHINGTON
Entity Type: FOREIGN LIMITED LIABILITY COMPANY
Category: FOREIGN ENTITY
Status: Withdrawn
Formation/ Registration Date: September 4th 2008
Date of Dissolution: March 22nd 2023
Expiration date: 30 Sep 2023
UBI Number: 602 861 394
Home State: TENNESSEE
Principal Office Street Address: Google Maps Logo 4000 MERIDIAN BLVD, FRANKLIN, TN, 37067-6325, UNITED STATES

Contact Details

E-Mail: ANNUALREPORTS@CSCGLOBAL.COM

Nature of Business

HEALTHCARE SERVICES

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Registered Agent Information

Name Role Address
CORPORATION SERVICE COMPANY Registered Agent 300 DESCHUTES WAY SW STE 208 MC-CSC1, TUMWATER, WA, 98501, UNITED STATES

Key Officers & Management

Name Role Address
KEVIN J. HAMMONS Governing Person -
JUSTIN D. PITT Governing Person -
W. BRADLEY CASH Governing Person -
ROBIN KECK EXECUTOR 4000 MERIDIAN BLVD, FRANKLIN, TN, 37067, UNITED STATES

National Provider Identifier

NPI Number:
1902056583

Authorized Person:

Name:
DEBBIE T BREWER
Role:
DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
207RN0300X - Nephrology Physician
Is Primary:
Yes

Contacts:

Fax:
6154653007
Fax:
5094733793
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