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MENGISTU YEMANE, M.D., P.L.L.C.

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Company Details

Name: MENGISTU YEMANE, M.D., P.L.L.C.
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 27 Jun 2003 (22 years ago)
Organization Date: 27 Jun 2003 (22 years ago)
Last Annual Report: 02 Jul 2012 (13 years ago)
Managed By: Members
Organization Number: 0562944
ZIP code: 42503
City: Somerset
Primary County: Pulaski County
Principal Office: 30 TOWER CIRCLE, SOMERSET, KY 42503
Place of Formation: KENTUCKY

Registered Agent

Name Role
MENGISTU YEMANE MD Registered Agent

Member

Name Role
Mengistu Yemane Member

Organizer

Name Role
MENGISTU YEMANE MD Organizer

National Provider Identifier

NPI Number:
1275728289

Authorized Person:

Name:
MENGISTU YEMANE
Role:
DR/ PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6064519644

Filings

Name File Date
Dissolution 2012-08-01
Annual Report 2012-07-02
Annual Report 2011-04-06
Registered Agent name/address change 2010-08-09
Annual Report 2010-06-10

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Sources: Kentucky Secretary of State