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CENTRAL KENTUCKY HIGH RISK OBSTETRICS, PLLC

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Company Details

Name: CENTRAL KENTUCKY HIGH RISK OBSTETRICS, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 06 Mar 2002 (23 years ago)
Organization Date: 06 Mar 2002 (23 years ago)
Last Annual Report: 12 Mar 2014 (11 years ago)
Managed By: Members
Organization Number: 0532390
ZIP code: 40509
City: Lexington
Primary County: Fayette County
Principal Office: 170 N. EAGLE CREEK DRIVE, SUITE 110, LEXINGTON, KY 40509
Place of Formation: KENTUCKY

Registered Agent

Name Role
BERRY CAMPBELL, M.D. Registered Agent

Member

Name Role
Berry A. Campbell Member

Organizer

Name Role
BERRY CAMPBELL, M.D. Organizer

National Provider Identifier

NPI Number:
1891984597

Authorized Person:

Name:
BERRY CAMPBELL
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207VM0101X - Maternal & Fetal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
8592638669

Form 5500 Series

Employer Identification Number (EIN):
364492624
Plan Year:
2015
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
16
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
10
Sponsors Telephone Number:

Filings

Name File Date
Administrative Dissolution 2015-09-12
Annual Report 2014-03-12
Annual Report 2013-02-20
Annual Report 2012-02-18
Registered Agent name/address change 2011-02-14

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Sources: Kentucky Secretary of State