| Name: | Kendra Levi, DO, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 12 Aug 2022 (3 years ago) |
| Identification Number: | 001744767 |
| ZIP code: | 02904 |
| County: | Providence County |
| Principal Address: | 139 LANGDON STREET, PROVIDENCE, RI, 02904, USA |
| Mailing Address: | 245 WATERMAN STREET SUITE 109, PROVIDENCE, RI, 02906, USA |
| Purpose: | OSTEOPATHIC NEUROMUSCULOSKELETAL MEDICINE |
| Fictitious names: |
Riverside Osteopathy (trading name, 2023-06-13 - ) |
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
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639885874 | 2023-01-30 | 2023-01-30 | 139 LANGDON ST, PROVIDENCE, RI, 029041108, US | 502 BULLOCKS POINT AVE, RIVERSIDE, RI, 029153504, US | |||||||||||||
|
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| Phone | +1 772-919-5068 |
Authorized person
| Name | KENDRA LEVI |
| Role | SOLE MEMBER |
| Phone | 7729195068 |
Taxonomy
| Taxonomy Code | 204D00000X - Neuromusculoskeletal Medicine & OMM Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JAMES REAVIS | Agent | 245 WATERMAN STREET SUITE 109, PROVIDENCE, RI, 02906, USA |
| Number | Name | File Date |
|---|---|---|
| 202450167090 | Annual Report | 2024-04-04 |
| 202336763860 | Fictitious Business Name Statement | 2023-06-13 |
| 202330172280 | Annual Report | 2023-03-08 |
| 202222117030 | Articles of Organization | 2022-08-12 |
Date of last update: 28 Oct 2024
Sources: Rhode Island Department of State
