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LEXINGTON PSYCHIATRIC GROUP, P.S.C.

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Company Details

Name: LEXINGTON PSYCHIATRIC GROUP, P.S.C.
Legal type: Name Reservation
Status: Deleted
File Date: 15 Nov 1999 (26 years ago)
Authority Date: 15 Nov 1999 (26 years ago)
Organization Number: 0483408

National Provider Identifier

NPI Number:
1407089790

Authorized Person:

Name:
CHARLES I SHELTON
Role:
OWNER/PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
8592961155

Form 5500 Series

Employer Identification Number (EIN):
611229890
Plan Year:
2011
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
4
Sponsors Telephone Number:

Assumed Names

Name Status Expiration Date
LEXINGTON PSYCHIATRIC GROUP, P.S.C. Unknown 2000-03-14

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Sources: Kentucky Secretary of State