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IRA B. POTTER, P. S. C.

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Company Details

Name: IRA B. POTTER, P. S. C.
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 27 Mar 1973 (52 years ago)
Organization Date: 27 Mar 1973 (52 years ago)
Last Annual Report: 25 Aug 2020 (5 years ago)
Organization Number: 0042103
ZIP code: 41643
City: Lackey
Primary County: Knott County
Principal Office: 77 MILLARD ALLEN DRIVE, PO BOX 190, LACKEY, KY 41643
Place of Formation: KENTUCKY
Authorized Shares: 2000

Sole Officer

Name Role
Ira B Potter Sole Officer

Shareholder

Name Role
Ira B Potter Shareholder

Director

Name Role
IRA B. POTTER Director

Incorporator

Name Role
IRA B. POTTER, M. D. Incorporator

Registered Agent

Name Role
IRA B. POTTER Registered Agent

National Provider Identifier

NPI Number:
1962401455

Authorized Person:

Name:
IRA BLAINE POTTER
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
261QM2500X - Medical Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6063582404

Filings

Name File Date
Dissolution 2020-09-29
Annual Report 2020-08-25
Annual Report 2019-07-12
Annual Report 2018-09-05
Annual Report 2017-02-28

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Sources: Kentucky Secretary of State