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UNIVERSITY CHILDREN'S KIDNEY SPECIALISTS, LLC

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Company Details

Name: UNIVERSITY CHILDREN'S KIDNEY SPECIALISTS, LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 25 Apr 2003 (22 years ago)
Organization Date: 25 Apr 2003 (22 years ago)
Last Annual Report: 23 Apr 2014 (11 years ago)
Managed By: Members
Organization Number: 0558965
ZIP code: 40201
City: Louisville
Primary County: Jefferson County
Principal Office: P.O. BOX 2469, LOUISVILLE, KY 40201
Place of Formation: KENTUCKY

Organizer

Name Role
LARRY N. COOK, M.D. Organizer

Member

Name Role
UNIVERSITY PEDIATRICS FOUNDATION, INC. Member

Registered Agent

Name Role
500 WEST JEFFERSON STREET, LLC Registered Agent

National Provider Identifier

NPI Number:
1477600773

Authorized Person:

Name:
DR. GERARD P. RABALAIS
Role:
CHAIRMAN
Phone:

Taxonomy:

Selected Taxonomy:
363LP0200X - Pediatric Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207RN0300X - Nephrology Physician
Is Primary:
No
Selected Taxonomy:
2080P0210X - Pediatric Nephrology Physician
Is Primary:
Yes

Contacts:

Fax:
5028528556
Fax:
5026293975

Assumed Names

Name Status Expiration Date
U OF L PEDIATRICS-NEPHROLOGY Inactive 2015-09-13

Filings

Name File Date
Agent Resignation 2016-02-08
Dissolution 2014-12-31
Annual Report 2014-04-23
Annual Report 2013-06-10
Annual Report 2012-04-20

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Sources: Kentucky Secretary of State