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UROGYNECOLOGY SPECIALISTS OF KENTUCKIANA, PLLC

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Company Details

Name: UROGYNECOLOGY SPECIALISTS OF KENTUCKIANA, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
File Date: 19 Nov 2003 (22 years ago)
Organization Date: 19 Nov 2003 (22 years ago)
Last Annual Report: 06 Sep 2010 (15 years ago)
Managed By: Managers
Organization Number: 0572552
ZIP code: 40207
City: Louisville, Bellewood, Brownsboro Village, Brwnsboro...
Primary County: Jefferson County
Principal Office: 4121 DUTCHMAN LANE , SUITE 515 , LOUISVILLE, KY 40207
Place of Formation: KENTUCKY

Registered Agent

Name Role
CAROL A. GRAHAM MD Registered Agent

Manager

Name Role
Carol Ann Graham Manager
Michael H. Heit Manager

Organizer

Name Role
IVAN J. SCHELL Organizer

National Provider Identifier

NPI Number:
1497743041

Authorized Person:

Name:
CAROL A GRAHAM
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207VG0400X - Gynecology Physician
Is Primary:
Yes

Contacts:

Fax:
5028972311

Form 5500 Series

Employer Identification Number (EIN):
562416659
Plan Year:
2010
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
5
Sponsors Telephone Number:

Filings

Name File Date
Administrative Dissolution Return 2012-10-17
Administrative Dissolution Return 2011-09-27
Administrative Dissolution 2011-09-10
Annual Report 2010-09-06
Annual Report 2009-09-23

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Sources: Kentucky Secretary of State