Search icon

STEPHANIE M. RUSSELL, M.D., PSC

Company claim

Is this your business?

Get access!

Company Details

Name: STEPHANIE M. RUSSELL, M.D., PSC
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 07 Jul 2000 (25 years ago)
Organization Date: 07 Jul 2000 (25 years ago)
Last Annual Report: 28 Jun 2023 (2 years ago)
Organization Number: 0497409
ZIP code: 40241
City: Louisville, Barbourmeade, Broeck Pointe, Brownsboro ...
Primary County: Jefferson County
Principal Office: 7612 Wolfspring Court, Louisville, KY 40241
Place of Formation: KENTUCKY
Authorized Shares: 100

Shareholder

Name Role
Stephanie M. Kidzlife Pediatrics Shareholder

Incorporator

Name Role
STEPHANIE LUELLEN, M.D. Incorporator

Registered Agent

Name Role
STEPHANIE M. RUSSELL, M.D. Registered Agent

Sole Officer

Name Role
Stephanie M. Kidzlife Pediatrics Sole Officer

National Provider Identifier

NPI Number:
1164508198

Authorized Person:

Name:
STEPHANIE M. RUSSELL
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
Yes

Contacts:

Fax:
5024123979

Former Company Names

Name Action
STEPHANIE M. LUELLEN, M.D., P.S.C. Old Name

Assumed Names

Name Status Expiration Date
KIDZLIFE PEDIATRICS Inactive 2017-11-21

Filings

Name File Date
Administrative Dissolution 2024-10-12
Principal Office Address Change 2023-06-28
Registered Agent name/address change 2023-06-28
Annual Report 2023-06-28
Annual Report 2022-07-07

Paycheck Protection Program

Jobs Reported:
6
Initial Approval Amount:
$91,100
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$91,100
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$92,208.38
Servicing Lender:
PNC Bank, National Association
Use of Proceeds:
Payroll: $91,100
Jobs Reported:
8
Initial Approval Amount:
$60,302
Date Approved:
2021-01-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$60,302
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$60,749.24
Servicing Lender:
PNC Bank, National Association
Use of Proceeds:
Payroll: $60,298
Utilities: $1

Reviews Leave a review

This company hasn't received any reviews.

Sources: Kentucky Secretary of State