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MEDICAL SPECIALISTS OF CENTRAL KENTUCKY, P.S.C.

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Company Details

Name: MEDICAL SPECIALISTS OF CENTRAL KENTUCKY, P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 04 Aug 1995 (30 years ago)
Organization Date: 04 Aug 1995 (30 years ago)
Last Annual Report: 30 Dec 2015 (10 years ago)
Organization Number: 0403852
ZIP code: 42104
City: Bowling Green
Primary County: Warren County
Principal Office: 1326 ANDREA STREET, SUITE 100, BOWLING GREEN, KY 42104
Place of Formation: KENTUCKY
Authorized Shares: 1000

Registered Agent

Name Role
KEVIN C. BROOKS Registered Agent

Incorporator

Name Role
REBECCA D. SHADOWEN, M.D Incorporator

Sole Officer

Name Role
Rebecca D Shadowen Sole Officer

Shareholder

Name Role
Rebecca D Shadowen Shareholder

National Provider Identifier

NPI Number:
1134320492

Authorized Person:

Name:
DR. REBECCA DAWN SHADOWEN
Role:
OWNER, PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207RI0200X - Infectious Disease Physician
Is Primary:
Yes

Contacts:

Fax:
2707460882

Filings

Name File Date
Reinstatement 2016-01-08
Reinstatement Approval Letter Revenue 2016-01-08
Reinstatement Approval Letter UI 2016-01-08
Dissolution 2016-01-08
Reinstatement Certificate of Existence 2016-01-08

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Sources: Kentucky Secretary of State