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PADUCAH SURGICAL ASSOCIATES, PLLC

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Company Details

Name: PADUCAH SURGICAL ASSOCIATES, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
File Date: 01 May 2000 (25 years ago)
Organization Date: 01 May 2000 (25 years ago)
Last Annual Report: 13 Feb 2012 (13 years ago)
Managed By: Members
Organization Number: 0493834
ZIP code: 42003
City: Paducah
Primary County: McCracken County
Principal Office: 2603 KENTUCKY AVENUE, SUITE 304 , PADUCAH, KY 42003
Place of Formation: KENTUCKY

Registered Agent

Name Role
SUE ELLEN PETTY, M.D Registered Agent

Signature

Name Role
SUE ELLEN PETTY Signature

Member

Name Role
Sue Ellen Petty MD Member

Organizer

Name Role
THEODORE S. HUTCHINS Organizer

National Provider Identifier

NPI Number:
1609918861

Authorized Person:

Name:
DR. SUE ELLEN PETTY
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
2704417764

Filings

Name File Date
Administrative Dissolution 2013-09-28
Annual Report 2012-02-13
Annual Report 2011-07-28
Annual Report 2010-03-31
Annual Report 2009-06-23

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Sources: Kentucky Secretary of State