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PEDIATRIC ASSOCIATES OF FRANKFORT, PLLC

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Company Details

Name: PEDIATRIC ASSOCIATES OF FRANKFORT, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 08 Jan 2002 (23 years ago)
Organization Date: 08 Jan 2002 (23 years ago)
Last Annual Report: 28 Oct 2013 (12 years ago)
Managed By: Members
Organization Number: 0528478
ZIP code: 40601
City: Frankfort, Hatton
Primary County: Franklin County
Principal Office: #4 PHYSICIANS PARK, FRANKFORT, KY 40601
Place of Formation: KENTUCKY

Member

Name Role
David H. Parker Member
Amael Shalash Member
Robert A. Blair Member
Bradley C. Chase Member

Registered Agent

Name Role
ROBERT A. BLAIR Registered Agent

Signature

Name Role
PAM RANKINS Signature
BRADLEY C. CHASE Signature

Organizer

Name Role
ROBERT A. BLAIR Organizer

National Provider Identifier

NPI Number:
1639360464

Authorized Person:

Name:
DAVID HARGROVE PARKER
Role:
PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
363LP0200X - Pediatric Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
5028753073

Filings

Name File Date
Administrative Dissolution 2014-09-30
Reinstatement 2013-10-28
Reinstatement Certificate of Existence 2013-10-28
Reinstatement Approval Letter Revenue 2013-10-28
Administrative Dissolution 2013-09-28

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Sources: Kentucky Secretary of State