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CENTRAL KENTUCKY INTERVENTIONAL PAIN CENTER, PLLC

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Company Details

Name: CENTRAL KENTUCKY INTERVENTIONAL PAIN CENTER, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 09 Jun 2004 (21 years ago)
Organization Date: 09 Jun 2004 (21 years ago)
Last Annual Report: 26 May 2023 (2 years ago)
Managed By: Members
Organization Number: 0587961
ZIP code: 40422
City: Danville
Primary County: Boyle County
Principal Office: 300 WEST BROADWAY, DANVILLE, KY 40422
Place of Formation: KENTUCKY

Organizer

Name Role
KURSHEED A. SIDDIQUI Organizer

Member

Name Role
Kursheed A. Siddiqui Member

Registered Agent

Name Role
KURSHEED A. SIDDIQUI Registered Agent

National Provider Identifier

NPI Number:
1407855935

Authorized Person:

Name:
KHURSHEED SIDDIQUI
Role:
OWNER/GROUP PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
No
Selected Taxonomy:
207LP2900X - Pain Medicine (Anesthesiology) Physician
Is Primary:
No
Selected Taxonomy:
208VP0014X - Interventional Pain Medicine Physician
Is Primary:
No
Selected Taxonomy:
208VP0000X - Pain Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2099567733
Fax:
8592360066

Former Company Names

Name Action
DANVILLE INTERVENTIONAL PAIN TREATMENT CENTER, PLLC Old Name

Filings

Name File Date
Administrative Dissolution 2024-10-12
Annual Report 2023-05-26
Annual Report 2022-07-04
Annual Report 2021-05-25
Annual Report 2020-05-29

USAspending Awards / Financial Assistance

Date:
2020-05-02
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
21812.00
Total Face Value Of Loan:
21812.00

Paycheck Protection Program

Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
21812
Current Approval Amount:
21812
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
22030.51

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Sources: Kentucky Secretary of State