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Kid's Clinic, PLLC

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Company Details

Name: Kid's Clinic, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 18 Nov 2005 (20 years ago)
Business ID: 881714
ZIP code: 39325
County: Lauderdale
State of Incorporation: MISSISSIPPI
Principal Office Address: 9325 C HWY 19 NORTHCOLLINSVILLE, MS 39325

Agent

Name Role Address
Henderson, Tammy Agent 12028 Redbud Lane, Collinsville, MS 39325

Member

Name Role Address
Tammy Henderson Member 12028 REDBUD LANE, COLLINSVILLE, MS 39325

Manager

Name Role Address
Tammy Henderson Manager 12028 REDBUD LANE, COLLINSVILLE, MS 39325

National Provider Identifier

NPI Number:
1477642791

Authorized Person:

Name:
DR. TAMMY N HENDERSON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
Yes

Contacts:

Fax:
6014272800

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2015-12-08 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2015-09-16 Notice to Dissolve/Revoke
Annual Report LLC Filed 2014-02-05 Annual Report LLC
Annual Report LLC Filed 2013-03-05 Annual Report LLC
Annual Report LLC Filed 2012-02-09 Annual Report LLC
Annual Report LLC Filed 2011-03-21 Annual Report LLC
Formation Form Filed 2005-11-18 Formation

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Date of last update: 05 May 2025

Sources: Company Profile on Mississippi Secretary of State Website