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MARK WILLIAMS M.D., PLLC

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Company Details

Name: MARK WILLIAMS M.D., PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 03 Jun 2004 (21 years ago)
Organization Date: 03 Jun 2004 (21 years ago)
Last Annual Report: 03 Apr 2025 (2 months ago)
Managed By: Managers
Organization Number: 0587553
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40241
City: Louisville, Barbourmeade, Broeck Pointe, Brownsboro ...
Primary County: Jefferson County
Principal Office: 9933 White Blossom Blvd , LOUISVILLE, KY 40241
Place of Formation: KENTUCKY

Registered Agent

Name Role
STEVEN B. TAYLOR Registered Agent

Manager

Name Role
Mark A Williams Manager
Geneva L Williams Manager

Organizer

Name Role
STEVEN B. TAYLOR Organizer

National Provider Identifier

NPI Number:
1821006032
Certification Date:
2024-06-17

Authorized Person:

Name:
DR. MARK A. WILLIAMS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
5022449577

Filings

Name File Date
Principal Office Address Change 2025-04-03
Annual Report 2025-04-03
Annual Report 2024-06-17
Annual Report 2023-04-26
Annual Report 2022-05-18

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Sources: Kentucky Secretary of State