Name: | Karen L. Kerman, M.D., Incorporated |
Jurisdiction: | Rhode Island |
Entity type: | Domestic Profit Corporation |
Status: | Revoked Entity |
Date of Organization in Rhode Island: | 11 Jan 1995 (30 years ago) |
Date of Dissolution: | 09 Nov 2010 (14 years ago) |
Date of Status Change: | 09 Nov 2010 (14 years ago) |
Identification Number: | 000082667 |
ZIP code: | 02903 |
County: | Providence County |
Principal Address: | C/O RHODE ISLAND HOSPITAL 593 EDDY STREET, PROVIDENCE, RI, 02903, USA |
Purpose: | DELIVERY OF MEDICAL SERVICES. |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1356420780 | 2006-11-05 | 2020-08-22 | 109 HAZARD AVE, PROVIDENCE, RI, 029064256, US | 109 HAZARD AVE, PROVIDENCE, RI, 029064256, US | |||||||||||||||||
|
Phone | +1 401-301-8891 |
Authorized person
Name | DR. KAREN LYNN KERMAN |
Role | PRESIDENT |
Phone | 4013018891 |
Taxonomy
Taxonomy Code | 2084N0402X - Neurology with Special Qualifications in Child Neurology Physician |
License Number | RI7572 |
State | RI |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
A. MAX KOHLENBERG, ESQ. | Agent | EDWARDS ANGELL PALMER & DODGE LLP 2800 FINANCIAL PLAZA, PROVIDENCE, RI, 02903, USA |
Name | Role | Address |
---|---|---|
KAREN L KERMAN MD | PRESIDENT | C/O RHODE ISLAND HOSPITAL, 593 EDDY STREET PROVIDENCE, RI 02903- USA |
Number | Name | File Date |
---|---|---|
201072017970 | Revocation Certificate For Failure to File the Annual Report for the Year | 2010-11-09 |
201063112280 | Revocation Notice For Failure to File An Annual Report | 2010-06-16 |
200945091790 | Annual Report | 2009-04-21 |
200809356690 | Annual Report | 2008-02-28 |
Date of last update: 07 Oct 2024
Sources: Rhode Island Department of State