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INTERNAL MEDICINE OF EASTERN KENTUCKY, P.L.L.C.

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Company Details

Name: INTERNAL MEDICINE OF EASTERN KENTUCKY, P.L.L.C.
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
File Date: 28 Feb 2003 (23 years ago)
Organization Date: 28 Feb 2003 (23 years ago)
Last Annual Report: 30 Sep 2020 (5 years ago)
Managed By: Members
Organization Number: 0550619
ZIP code: 41653
City: Prestonsburg, Emma, Endicott, Hippo
Primary County: Floyd County
Principal Office: PO BOX 72, PRESTONSBURG, KY 41653
Place of Formation: KENTUCKY

Registered Agent

Name Role
ANTHONY STUMBO MD Registered Agent

Member

Name Role
Anthony Stumbo Member

Organizer

Name Role
A. DAVID BLANKENSHIP Organizer

National Provider Identifier

NPI Number:
1346325081

Authorized Person:

Name:
ANTHONY C STUMBO
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
363LA2200X - Adult Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6068867427

Filings

Name File Date
Administrative Dissolution 2021-10-19
Annual Report 2020-09-30
Annual Report 2019-06-03
Annual Report 2018-04-16
Annual Report 2017-04-25

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Sources: Kentucky Secretary of State