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EDWIN CARMOUCHE, M.D., PLLC

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Company Details

Name: EDWIN CARMOUCHE, M.D., PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 03 Jun 2003 (22 years ago)
Organization Date: 03 Jun 2003 (22 years ago)
Last Annual Report: 20 Sep 2019 (6 years ago)
Managed By: Members
Organization Number: 0561356
ZIP code: 40207
City: Louisville, Bellewood, Brownsboro Village, Brwnsboro...
Primary County: Jefferson County
Principal Office: 152 CHENOWETH LANE, LOUISVILLE, KY 40207-2651
Place of Formation: KENTUCKY

Member

Name Role
Edwin Carmouche Member

Registered Agent

Name Role
EDWIN CARMOUCHE, M.D., PLLC Registered Agent

Organizer

Name Role
JAMES C. SEIFFERT Organizer

National Provider Identifier

NPI Number:
1225030224

Authorized Person:

Name:
DR. EDWIN FRANKLIN CARMOUCHE
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
207RP1001X - Pulmonary Disease Physician
Is Primary:
Yes

Contacts:

Fax:
5028957698

Filings

Name File Date
Administrative Dissolution 2020-10-08
Annual Report 2019-09-20
Annual Report 2018-06-18
Annual Report 2017-06-12
Registered Agent name/address change 2016-04-12

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Sources: Kentucky Secretary of State