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FAMILY PRACTICE CARE, LLC

Company Details

Name: FAMILY PRACTICE CARE, LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
File Date: 15 Sep 2004 (21 years ago)
Organization Date: 01 Oct 2004 (21 years ago)
Last Annual Report: 25 Mar 2020 (5 years ago)
Managed By: Members
Organization Number: 0589846
ZIP code: 42411
City: Fredonia
Primary County: Caldwell County
Principal Office: P O BOX 195, FREDONIA , KY 42411
Place of Formation: KENTUCKY

Member

Name Role
PRISCILLA K GRAHAM Member
SCOTT R GRAHAM Member

Organizer

Name Role
SCOTT R. GRAHAM, M.D. Organizer

Registered Agent

Name Role
SCOTT R. GRAHAM Registered Agent

National Provider Identifier

NPI Number:
1558402867

Authorized Person:

Name:
SCOTT R GRAHAM
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
2705453712

Filings

Name File Date
Administrative Dissolution 2021-10-19
Annual Report 2020-03-25
Annual Report 2019-07-02
Annual Report 2018-04-19
Annual Report 2017-03-13

Sources: Kentucky Secretary of State