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MARK S. PACK, MD, PSC

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Company Details

Name: MARK S. PACK, MD, PSC
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 12 Jan 2001 (24 years ago)
Organization Date: 12 Jan 2001 (24 years ago)
Last Annual Report: 04 Feb 2013 (12 years ago)
Organization Number: 0508735
ZIP code: 41101
City: Ashland, Summitt, Westwood
Primary County: Boyd County
Principal Office: 800 ST. CHRISTOPHER DRIVE, SUITE 2, ASHLAND, KY 41101
Place of Formation: KENTUCKY
Authorized Shares: 100

Registered Agent

Name Role
MARK S. PACK, MD Registered Agent

President

Name Role
Mark S Pack, MD President

Director

Name Role
Mark S Pack, MD Director

Shareholder

Name Role
Mark S Pack, MD Shareholder

Incorporator

Name Role
MARK S. PACK, MD Incorporator

National Provider Identifier

NPI Number:
1356542492

Authorized Person:

Name:
MARK S. PACK
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Filings

Name File Date
Administrative Dissolution Return 2014-10-23
Administrative Dissolution 2014-09-30
Sixty Day Notice Return 2014-08-07
Annual Report 2013-02-04
Annual Report 2012-04-04

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Sources: Kentucky Secretary of State