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NORTHERN KENTUCKY DERMATOLOGY, P.S.C.

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Company Details

Name: NORTHERN KENTUCKY DERMATOLOGY, P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
Organization Date: 01 Jan 1993 (33 years ago)
Last Annual Report: 29 Mar 2016 (9 years ago)
Organization Number: 0308878
ZIP code: 41017
City: Ft Mitchell, Bromley, Covington, Crescent Park, Cresc...
Primary County: Kenton County
Principal Office: 2701 CHANCELLOR DR, CRESTVIEW HILLS, KY 41017
Place of Formation: KENTUCKY
Authorized Shares: 1000

Incorporator

Name Role
WILLIAM B. HOPPENJANS, M Incorporator

Registered Agent

Name Role
WILLIAM B. HOPPENJANS, M.D. Registered Agent

Secretary

Name Role
Deborah J Hoppenjans Secretary

Director

Name Role
Deborah J Hoppenjans Director
William B Hoppenjans Director
Scott A Neltner Director
WILLIAM B. HOPPENJANS, M Director
DEBORAH HOPPENJANS Director

Shareholder

Name Role
William B Hoppenjans Shareholder
Scott A Neltner Shareholder

President

Name Role
William B Hoppenjans President

Vice President

Name Role
Scott S Neltner Vice President

National Provider Identifier

NPI Number:
1528254992

Authorized Person:

Name:
DR. WILLIAM B HOPPENJANS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
No
Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
No
Selected Taxonomy:
207ND0101X - MOHS-Micrographic Surgery Physician
Is Primary:
No
Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Fax:
8593410560

Form 5500 Series

Employer Identification Number (EIN):
611230349
Plan Year:
2015
Number Of Participants:
17
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
20
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
18
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
16
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
16
Sponsors Telephone Number:

Former Company Names

Name Action
WILLIAM B. HOPPENJANS, P.S.C. Old Name

Filings

Name File Date
Dissolution 2016-12-13
Annual Report 2016-03-29
Annual Report 2015-02-25
Annual Report 2014-01-23
Annual Report 2013-01-23

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Sources: Kentucky Secretary of State