| Name: | Kevin S. Palumbo MD, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 31 Jan 2005 (20 years ago) |
| Date of Dissolution: | 28 Feb 2012 (13 years ago) |
| Date of Status Change: | 28 Feb 2012 (13 years ago) |
| Identification Number: | 000145461 |
| ZIP code: | 02905 |
| County: | Providence County |
| Principal Address: | 33 STANIFORD STREET, PROVIDENCE, RI, 02905, USA |
| Purpose: | TO ENGAGE IN THE PRACTICE OF MEDICINE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699846923 | 2006-11-10 | 2008-12-31 | 33 STANIFORD ST, PROVIDENCE, RI, 029053105, US | 33 STANIFORD ST, PROVIDENCE, RI, 029053105, US | |||||||||||||||||||
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| Phone | +1 401-421-8800 |
| Fax | 4012736510 |
Authorized person
| Name | KEVIN S. PALUMBO |
| Role | OWNER |
| Phone | 4014218800 |
Taxonomy
| Taxonomy Code | 207RG0100X - Gastroenterology Physician |
| License Number | 10181 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| STEPHEN D. ZUBIAGO, ESQ. | Agent | NIXON PEABODY LLP ONE CITIZENS PLAZA, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| KEVIN S PALUMBO MD | PRESIDENT | 33 STANIFORD STREET PROVIDENCE, RI 02905- USA |
| Number | Name | File Date |
|---|---|---|
| 201290324270 | Articles of Dissolution | 2012-02-28 |
| 201174253500 | Annual Report | 2011-01-31 |
| 201058472030 | Annual Report | 2010-02-16 |
| 200942439630 | Annual Report | 2009-02-17 |
| 200809581560 | Annual Report | 2008-03-03 |
Date of last update: 09 Oct 2024
Sources: Rhode Island Department of State
