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Kidz 1st Clinic, LLC

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Company Details

Name: Kidz 1st Clinic, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 23 Sep 2019 (6 years ago)
Business ID: 1189345
State of Incorporation: MISSISSIPPI

Agent

Name Role Address
TIFFANY BOWEN Agent 321 E 15TH STREET, YAZOO CITY, MS 39194

Manager

Name Role Address
TIFFANY BOWEN Manager 409 CUMBERLAND CT, MADISON, MS 39110

National Provider Identifier

NPI Number:
1083265284
Certification Date:
2022-05-31

Authorized Person:

Name:
TIFFANY ALLISON BOWEN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LP0200X - Pediatric Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
261QR1300X - Rural Health Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6625321544

Form 5500 Series

Employer Identification Number (EIN):
843129048
Plan Year:
2024
Number Of Participants:
16
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
4
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2020-11-27 Action of Kidz 1st Clinic, LLC: AR
Notice to Dissolve/Revoke Filed 2020-08-28 Notice to Dissolve/Revoke
Formation Form Filed 2019-09-23 Formation For Kidz 1st Clinic, LLC

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Date of last update: 07 Jul 2025

Sources: Company Profile on Mississippi Secretary of State Website