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MARION COUNTY ANESTHESIA ASSOCIATES, PLLC

Company Details

Name: MARION COUNTY ANESTHESIA ASSOCIATES, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 05 Nov 2004 (21 years ago)
Organization Date: 05 Nov 2004 (21 years ago)
Last Annual Report: 26 Jul 2016 (9 years ago)
Managed By: Members
Organization Number: 0598566
ZIP code: 40033
City: Lebanon, Calvary
Primary County: Marion County
Principal Office: 15 COURT SQUARE, LEBANON, KY 40033
Place of Formation: KENTUCKY

Registered Agent

Name Role
JAMES ADAM MONTGOMERY Registered Agent

Member

Name Role
James Adam Montgomery Member

Organizer

Name Role
JAMES ADAM MONTGOMERY Organizer

National Provider Identifier

NPI Number:
1215022348

Authorized Person:

Name:
JAMES ADAM MONTGOMERY
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
367500000X - Certified Registered Nurse Anesthetist
Is Primary:
No
Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
Yes

Contacts:

Fax:
8592694120

Filings

Name File Date
Dissolution 2017-02-28
Annual Report 2016-07-26
Annual Report 2015-06-30
Annual Report 2014-06-23
Annual Report 2013-06-26

Sources: Kentucky Secretary of State