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WESTERN KENTUCKY UROLOGICAL ASSOCIATES, PSC

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Company Details

Name: WESTERN KENTUCKY UROLOGICAL ASSOCIATES, PSC
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 01 Oct 2004 (21 years ago)
Organization Date: 01 Oct 2004 (21 years ago)
Last Annual Report: 18 Apr 2016 (9 years ago)
Organization Number: 0596136
ZIP code: 42066
City: Mayfield
Primary County: Graves County
Principal Office: 1029 MEDICAL CENTER CIRCLE, SUITE 200, MAYFIELD, KY 42066
Place of Formation: KENTUCKY
Authorized Shares: 1000

President

Name Role
CHRIS STANCZYK President

Director

Name Role
CHRIS STANCZYK Director

Shareholder

Name Role
CHRIS STANCZYK Shareholder

Incorporator

Name Role
CHRIS STANCZYK Incorporator

Registered Agent

Name Role
CHRIS STANCZYK Registered Agent

National Provider Identifier

NPI Number:
1356394639

Authorized Person:

Name:
CHRISTOPHER G STANCZYK
Role:
PHYSICIAN/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208800000X - Urology Physician
Is Primary:
Yes

Contacts:

Fax:
2702514546

Form 5500 Series

Employer Identification Number (EIN):
201730445
Plan Year:
2014
Number Of Participants:
2
Sponsors Telephone Number:

Filings

Name File Date
Dissolution 2016-09-15
Annual Report 2016-04-18
Annual Report 2015-04-21
Annual Report 2014-03-14
Annual Report 2013-05-09

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Sources: Kentucky Secretary of State