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Karen L. Kerman, M.D., Incorporated

Company Details

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.

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
A. MAX KOHLENBERG, ESQ. Agent EDWARDS ANGELL PALMER & DODGE LLP 2800 FINANCIAL PLAZA, PROVIDENCE, RI, 02903, USA

PRESIDENT

Name Role Address
KAREN L KERMAN MD PRESIDENT C/O RHODE ISLAND HOSPITAL, 593 EDDY STREET PROVIDENCE, RI 02903- USA

Filings

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