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WEST KENTUCKY ORTHOPAEDICS AND SPORTS MEDICINE, PLLC.

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Company Details

Name: WEST KENTUCKY ORTHOPAEDICS AND SPORTS MEDICINE, PLLC.
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 30 May 2001 (24 years ago)
Organization Date: 30 May 2001 (24 years ago)
Last Annual Report: 30 Jun 2016 (9 years ago)
Managed By: Members
Organization Number: 0516641
ZIP code: 42240
City: Hopkinsville
Primary County: Christian County
Principal Office: 105 KEETON DRIVE, HOPKINSVILLE, KY 42240
Place of Formation: KENTUCKY

Registered Agent

Name Role
JACK N LACKEY JR Registered Agent

Member

Name Role
David P Bealle Member
Frederick G Robbe Member

Organizer

Name Role
DAVID P BEALLE MD Organizer

National Provider Identifier

NPI Number:
1750312187

Authorized Person:

Name:
DR. DAVID P BEALLE
Role:
OWNER/PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
207X00000X - Orthopaedic Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
2708890556

Form 5500 Series

Employer Identification Number (EIN):
201213524
Plan Year:
2015
Number Of Participants:
20
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
20
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
20
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
17
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
17
Sponsors Telephone Number:

Former Company Names

Name Action
DAVID P. BEALLE, M.D., PLLC Old Name

Assumed Names

Name Status Expiration Date
WEST KENTUCKY ORTHOPAEDICS AND SPORTS MEDICINE Inactive 2016-07-16

Filings

Name File Date
Administrative Dissolution 2017-10-09
Annual Report 2016-06-30
Annual Report 2015-07-06
Annual Report 2014-08-15
Annual Report 2013-06-20

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Sources: Kentucky Secretary of State