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SOUTHERN KENTUCKY NEPHROLOGY ASSOCIATES, P.S.C.

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Company Details

Name: SOUTHERN KENTUCKY NEPHROLOGY ASSOCIATES, P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 19 Dec 1997 (28 years ago)
Organization Date: 19 Dec 1997 (28 years ago)
Last Annual Report: 28 Feb 2024 (a year ago)
Organization Number: 0443121
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42101
City: Bowling Green, Hadley, Plum Springs, Richardsville
Primary County: Warren County
Principal Office: 720 E. SECOND AVE., SUITE 203, BOWLING GREEN, KY 42101
Place of Formation: KENTUCKY
Authorized Shares: 1000

Registered Agent

Name Role
MISTY SMITH Registered Agent

Incorporator

Name Role
CARLOS ROTELLAR MD Incorporator
SCOTT C SIMS MD Incorporator

President

Name Role
Julie Isaac President

Vice President

Name Role
Jennifer Shuemaker Vice President

Director

Name Role
Julie Isaac Director
Jennifer Shuemaker Director

Shareholder

Name Role
Julie Isaac Shareholder
Jennifer Shuemaker Shareholder

National Provider Identifier

NPI Number:
1740310267

Authorized Person:

Name:
MISTY SMITH
Role:
PRACTICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207RN0300X - Nephrology Physician
Is Primary:
Yes

Contacts:

Fax:
2707451230

Filings

Name File Date
Annual Report 2024-02-28
Principal Office Address Change 2023-05-11
Annual Report 2023-05-11
Annual Report Amendment 2022-09-02
Registered Agent name/address change 2022-09-02

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Sources: Kentucky Secretary of State