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MANOSH VONGVISES, M.D., INC.

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Company Details

Name: MANOSH VONGVISES, M.D., INC.
Legal type: Kentucky Corporation
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 31 Mar 1997 (28 years ago)
Organization Date: 31 Mar 1997 (28 years ago)
Last Annual Report: 09 Jun 2014 (11 years ago)
Organization Number: 0430818
ZIP code: 41501
City: Pikeville, Broad Bottom, Gulnare, Mccombs, Meta, Ne...
Primary County: Pike County
Principal Office: 419 TOWN MOUNTAIN RD, STE 104, PIKEVILLE, KY 41501
Place of Formation: KENTUCKY
Authorized Shares: 100

Registered Agent

Name Role
MANOSH VONGVISES, M.D., INC. Registered Agent

Sole Officer

Name Role
Manosh Vongvises Sole Officer

Incorporator

Name Role
MANOSH VONGVISES M.D. Incorporator

National Provider Identifier

NPI Number:
1336450014

Authorized Person:

Name:
MANOSH VONGVISES
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207Y00000X - Otolaryngology Physician
Is Primary:
Yes

Contacts:

Fax:
6064326771

Filings

Name File Date
Dissolution 2015-06-25
Annual Report 2014-06-09
Annual Report 2013-06-13
Annual Report 2012-06-20
Annual Report 2011-06-09

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Sources: Kentucky Secretary of State