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PREMIERE PROVIDERS PLLC

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Company Details

Name: PREMIERE PROVIDERS PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 24 Nov 2004 (21 years ago)
Organization Date: 24 Nov 2004 (21 years ago)
Last Annual Report: 13 Mar 2018 (7 years ago)
Managed By: Members
Organization Number: 0599875
ZIP code: 40291
City: Louisville, Fern Creek
Primary County: Jefferson County
Principal Office: 10701 HIDDEN CREEK LANE, LOUISVILLE, KY 40291-3366
Place of Formation: KENTUCKY

Registered Agent

Name Role
MARK A. KIRKPATRICK Registered Agent

Member

Name Role
Mark Arnold Kirkpatrick Member

Organizer

Name Role
RONDA HART Organizer
LISA KEON Organizer

National Provider Identifier

NPI Number:
1346360872

Authorized Person:

Name:
DR. MARK ARNOLD KIRKPATRICK
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2709324285

Filings

Name File Date
Dissolution 2019-01-25
Annual Report 2018-03-13
Reinstatement 2017-07-03
Reinstatement Approval Letter Revenue 2017-07-03
Reinstatement Certificate of Existence 2017-07-03

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Sources: Kentucky Secretary of State