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KENTUCKY EM-I MEDICAL SERVICES, P.S.C.

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Company Details

Name: KENTUCKY EM-I MEDICAL SERVICES, P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 26 Jun 1998 (27 years ago)
Organization Date: 26 Jun 1998 (27 years ago)
Last Annual Report: 28 Jun 2024 (a year ago)
Organization Number: 0455856
Industry: Health Services
Number of Employees: Medium (20-99)
Principal Office: 20 BURTON HILLS BLVD, Suite 500, NASHVILLE, TN 37215
Place of Formation: KENTUCKY
Authorized Shares: 1000

Incorporator

Name Role
MARVIN ROBERTS, MD Incorporator

President

Name Role
Andrew Mulvey MD President

Treasurer

Name Role
Matthew Musso Treasurer

Shareholder

Name Role
Mark Jeffrey Slepin MD Shareholder

Registered Agent

Name Role
CORPORATION SERVICE COMPANY Registered Agent

National Provider Identifier

NPI Number:
1356848121
Certification Date:
2024-10-08

Authorized Person:

Name:
KAREN MARIE VAUGHN
Role:
AUTHORIZED OFFICIAL
Phone:

Taxonomy:

Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
Yes

Contacts:

Filings

Name File Date
Principal Office Address Change 2024-06-28
Annual Report 2024-06-28
Annual Report 2023-06-07
Annual Report 2022-06-28
Principal Office Address Change 2022-06-28

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Sources: Kentucky Secretary of State