| Name: | KIM THIELE, D.O., P.C. |
| Jurisdiction: | Alaska |
| Legal type: | Professional Corporation |
| Status: | Good Standing |
| Date of registration: | 11 Jun 2001 (24 years ago) |
| Entity Number: | 73491D |
| ZIP code: | 99611 |
| County: | Kenai Peninsula |
| Place of Formation: | ALASKA |
| Mailing Address: | 36901 MALLARD RD, KENAI, AK 99611 |
| Address: | 36901 MALLARD ROAD, KENAI, AK 99611 |
Line of Business
62 Health Care and Social AssistanceNAICS
621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)| Name | Role |
|---|---|
| KIM THIELE | Director |
| KIM THIELE | President |
| KIM THIELE | Secretary |
| KIM THIELE | Shareholder |
| KIM THIELE | Treasurer |
| KIM THIELE | Vice President |
| KIM THIELE | Registered Agent |
| License Number | Type | Status | Issue Date | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| 959963 | Business License | Active | 2011-06-17 | 2022-12-16 | 2024-12-31 | LOB: 62 - Health Care and Social Assistance, NAICS: 621111 - OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS) |
| License Number | Program | Type | Status | Issue Date | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|
| 160397 | Telemedicine Business Registry | Telemedicine Business Registry | Active | 2020-05-26 | 2020-04-02 | - |
Date of last update: 26 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
