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MARY BETH STABEN M.D., LLC

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Company Details

Name: MARY BETH STABEN M.D., LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
File Date: 30 Apr 2001 (24 years ago)
Organization Date: 30 Apr 2001 (24 years ago)
Last Annual Report: 31 Oct 2006 (19 years ago)
Managed By: Members
Organization Number: 0515050
ZIP code: 40502
City: Lexington
Primary County: Fayette County
Principal Office: 125 CHINOE ROAD, LEXINGTON, KY 40502
Place of Formation: KENTUCKY

Registered Agent

Name Role
JEFFREY R. WALKER Registered Agent

Member

Name Role
Mary Beth Staben Member

Organizer

Name Role
MARY BETH STABEN Organizer

National Provider Identifier

NPI Number:
1730388984

Authorized Person:

Name:
MRS. MARY BETH STABEN
Role:
DOCTOR
Phone:

Taxonomy:

Selected Taxonomy:
208M00000X - Hospitalist Physician
Is Primary:
Yes

Contacts:

Fax:
8592779320

Filings

Name File Date
Administrative Dissolution 2007-11-01
Annual Report 2006-10-31
Annual Report 2005-10-03
Annual Report 2003-09-03
Annual Report 2002-11-06

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Sources: Kentucky Secretary of State