| 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 (2 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 |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| Fictitious names: |
Riverside Osteopathy (trading name, 2023-06-13 - ) |
| 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 | |||||||||||||
|
|||||||||||||||||
| 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
