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DAVID M. WEST, M.D., P.S.C.

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Company Details

Name: DAVID M. WEST, M.D., P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 01 Jul 1991 (34 years ago)
Organization Date: 01 Jul 1991 (34 years ago)
Last Annual Report: 01 Jul 2013 (12 years ago)
Organization Number: 0288115
ZIP code: 42003
City: Paducah
Primary County: McCracken County
Principal Office: 2601 KENTUCKY AVE, STE 102, PADUCAH, KY 42003
Place of Formation: KENTUCKY
Authorized Shares: 1000

Registered Agent

Name Role
GORMAN BRADLEY, JR. Registered Agent

President

Name Role
David M West President

Treasurer

Name Role
ANGELA West Treasurer

Shareholder

Name Role
David M West Shareholder

Secretary

Name Role
ANGELA West Secretary

Signature

Name Role
DAVID M WEST Signature

Director

Name Role
DAVID M. WEST, M.D. Director

Incorporator

Name Role
DAVID M. WEST, M.D. Incorporator

National Provider Identifier

NPI Number:
1932401890

Authorized Person:

Name:
DR. DAVID M WEST
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
2707440834
Fax:
2704430235

Form 5500 Series

Employer Identification Number (EIN):
611202880
Plan Year:
2011
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
4
Sponsors Telephone Number:

Filings

Name File Date
Administrative Dissolution 2014-09-30
Annual Report 2013-07-01
Annual Report 2012-06-28
Reinstatement 2011-09-27
Reinstatement Certificate of Existence 2011-09-27

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Sources: Kentucky Secretary of State