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LETICIA K. TUCKER, M.D., LLC

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Company Details

Name: LETICIA K. TUCKER, M.D., LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
File Date: 09 Jul 2002 (23 years ago)
Organization Date: 09 Jul 2002 (23 years ago)
Last Annual Report: 01 May 2008 (17 years ago)
Managed By: Members
Organization Number: 0540323
ZIP code: 42347
City: Hartford, Narrows
Primary County: Ohio County
Principal Office: 1215 OLD MAIN STREET, DOCTOR'S BUILDING, HARTFORD, KY 42347
Place of Formation: KENTUCKY

Registered Agent

Name Role
LETICIA K. TUCKER M.D., L.L.C. Registered Agent

Member

Name Role
Leticia K. Tucker, MD Member

Signature

Name Role
LETICIA K TUCKER Signature

Organizer

Name Role
LETICIA K. TUCKER Organizer

National Provider Identifier

NPI Number:
1033301205

Authorized Person:

Name:
LETICIA TUCKER
Role:
DR.
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2702985285

Filings

Name File Date
Administrative Dissolution 2009-11-03
Annual Report 2008-05-01
Annual Report 2007-02-09
Annual Report 2006-09-14
Reinstatement 2005-11-28

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Sources: Kentucky Secretary of State