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KENTUCKY INTERNAL MEDICINE GROUP, PLLC

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Company Details

Name: KENTUCKY INTERNAL MEDICINE GROUP, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
File Date: 21 Apr 1999 (26 years ago)
Organization Date: 21 Apr 1999 (26 years ago)
Last Annual Report: 26 Feb 2007 (18 years ago)
Managed By: Members
Organization Number: 0472898
ZIP code: 40508
City: Lexington
Primary County: Fayette County
Principal Office: 125 E. MAXWELL ST., STE 100, LEXINGTON, KY 40508
Place of Formation: KENTUCKY

Member

Name Role
Daniel J. BEITING, MD Member
Natalia A Shrestha MD Member

Registered Agent

Name Role
FRANK T. BEIRNE Registered Agent

Organizer

Name Role
M. ALLEN DAWSON Organizer

National Provider Identifier

NPI Number:
1164478707

Authorized Person:

Name:
ERIC T. SCHEPER
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
8593897317

Filings

Name File Date
Administrative Dissolution 2008-11-01
Annual Report 2007-02-26
Annual Report 2006-05-22
Amended and Restated Articles 2006-02-14
Statement of Change 2006-02-03

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Sources: Kentucky Secretary of State