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OBSTETRICS & GYNECOLOGY OF PADUCAH, P.S.C.

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Company Details

Name: OBSTETRICS & GYNECOLOGY OF PADUCAH, P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 26 Sep 1991 (34 years ago)
Organization Date: 26 Sep 1991 (34 years ago)
Last Annual Report: 17 Jun 2016 (9 years ago)
Organization Number: 0291284
ZIP code: 42003
City: Paducah
Primary County: McCracken County
Principal Office: 2605 KENTUCKY AVENUE, SUITE 301, PADUCAH, KY 42003
Place of Formation: KENTUCKY
Authorized Shares: 1000

Vice President

Name Role
AMBER SAVELLS Vice President

Registered Agent

Name Role
S. BLAIR TOLAR, M.D. Registered Agent

Shareholder

Name Role
S. BLAIR TOLAR Shareholder

President

Name Role
S. BLAIR TOLAR President

Director

Name Role
SALLY H. CHANEY, M.D. Director

Incorporator

Name Role
SALLY H. CHANEY, M.D. Incorporator

Signature

Name Role
SALLY CHANEY Signature

National Provider Identifier

NPI Number:
1699881862

Authorized Person:

Name:
DR. STEWART BLAIR TOLAR
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
363LX0001X - Obstetrics & Gynecology Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207V00000X - Obstetrics & Gynecology Physician
Is Primary:
Yes

Contacts:

Fax:
2704430023

Form 5500 Series

Employer Identification Number (EIN):
611206115
Plan Year:
2014
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
11
Sponsors Telephone Number:

Filings

Name File Date
Dissolution 2016-12-13
Principal Office Address Change 2016-06-17
Registered Agent name/address change 2016-06-17
Annual Report 2016-06-17
Annual Report 2015-05-28

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Sources: Kentucky Secretary of State