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BRIAN G KWETKOWSKI, LLC

Company Details

Name: BRIAN G KWETKOWSKI, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Dissolved
Date of Organization in Rhode Island: 05 Aug 2019 (6 years ago)
Date of Dissolution: 28 Dec 2022 (2 years ago)
Date of Status Change: 28 Dec 2022 (2 years ago)
Identification Number: 001698739
ZIP code: 02886
County: Kent County
Purpose: PRIMARY CARE PHYSICIAN OFFICE, PRIVATE PRACTICE
Historical names: DR. BRIAN G. KWETKOWKSI, LLC
Principal Address: Google Maps Logo 274 LARCHWOOD DRIVE, WARWICK, RI, 02886, USA

Industry & Business Activity

NAICS

621111 Offices of Physicians (except Mental Health Specialists)

This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of general or specialized medicine (except psychiatry or psychoanalysis) or surgery. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau

Agent

Name Role Address
DR. BRIAN G. KWETKOWSKI Agent 274 LARCHWOOD DRIVE, WARWICK, RI, 02886, USA

National Provider Identifier

NPI Number:
1659913549

Authorized Person:

Name:
BRIAN G KWETKOWSKI
Role:
OWNER/ PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
4014716530

Form 5500 Series

Employer Identification Number (EIN):
050520716
Plan Year:
2011
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
4
Sponsors Telephone Number:

Events

Type Date Old Value New Value
Name Change 2019-12-13 DR. BRIAN G. KWETKOWKSI, LLC BRIAN G KWETKOWSKI, LLC

Filings

Number Name File Date
202225532010 Articles of Dissolution 2022-12-28
202211218920 Annual Report 2022-02-20
202207610910 Statement of Change of Registered/Resident Agent Office 2022-01-04
202101014760 Annual Report 2021-09-07
202194935650 Annual Report 2021-03-25

USAspending Awards / Financial Assistance

Date:
2020-04-13
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
23800.00
Total Face Value Of Loan:
23800.00

Date of last update: 03 Jun 2025

Sources: Rhode Island Department of State