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WEST KENTUCKY DERMATOLOGY, P.S.C.

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Company Details

Name: WEST KENTUCKY DERMATOLOGY, P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 16 Oct 2001 (24 years ago)
Organization Date: 16 Oct 2001 (24 years ago)
Last Annual Report: 16 Feb 2025 (5 months ago)
Organization Number: 0524050
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42431
City: Madisonville
Primary County: Hopkins County
Principal Office: 95 YMCA DRIVE SUITE #3, MADISONVILLE, KY 42431
Place of Formation: KENTUCKY
Authorized Shares: 1000

President

Name Role
William F. Smith President

Shareholder

Name Role
William F. Smith Shareholder

Incorporator

Name Role
WILLIAM F. SMITH, M.D. Incorporator

Registered Agent

Name Role
WILLIAM F. SMITH, M.D. Registered Agent

National Provider Identifier

NPI Number:
1053536037

Authorized Person:

Name:
WILLIAM F SMITH III
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Fax:
2708216580
Fax:
2708819001

Assumed Names

Name Status Expiration Date
MOUNT WASHINGTON DERMATOLOGY Active 2029-02-28
SHELBYVILLE DERMATOLOGY Active 2029-02-28

Filings

Name File Date
Annual Report 2025-02-16
Certificate of Assumed Name 2024-02-29
Certificate of Assumed Name 2024-02-29
Annual Report 2024-02-29
Annual Report 2023-03-28

USAspending Awards / Financial Assistance

Date:
2020-04-27
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
83400.00
Total Face Value Of Loan:
83400.00

OSHA's Inspections within Industry

Inspection Summary

Date:
2003-09-24
Type:
Unprog Rel
Address:
1000 BRECKENRIDGE ST STE 402, OWENSBORO, KY, 42303
Safety Health:
Health
Scope:
Partial

Inspection Summary

Date:
2003-09-23
Type:
Complaint
Address:
2100 N MAIN ST, MADISONVILLE, KY, 42431
Safety Health:
Health
Scope:
Partial

Paycheck Protection Program

Jobs Reported:
12
Initial Approval Amount:
$83,400
Date Approved:
2020-04-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$83,400
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$83,758.73
Servicing Lender:
Old National Bank
Use of Proceeds:
Payroll: $83,400

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Sources: Kentucky Secretary of State