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WESTERN KENTUCKY CENTRE FOR PSYCHIATRIC MEDICINE, PLLC

Company Details

Name: WESTERN KENTUCKY CENTRE FOR PSYCHIATRIC MEDICINE, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
File Date: 27 Jan 2005 (20 years ago)
Organization Date: 27 Jan 2005 (20 years ago)
Last Annual Report: 08 May 2019 (6 years ago)
Managed By: Members
Organization Number: 0604645
ZIP code: 42413
City: Hanson
Primary County: Hopkins County
Principal Office: 7805 N. HANSON ROAD, U.S. HIGHWAY 41, HANSON, KY 42413
Place of Formation: KENTUCKY

Registered Agent

Name Role
LAWRENCE E. SUESS Registered Agent

Member

Name Role
LAWRENCE E SUESS, DO, PHD Member

Organizer

Name Role
LAWRENCE E. SUESS Organizer

National Provider Identifier

NPI Number:
1003991621

Authorized Person:

Name:
LAWRENCE E SUESS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
2703221155

Filings

Name File Date
Administrative Dissolution 2020-10-08
Sixty Day Notice Return 2020-08-24
Annual Report 2019-05-08
Annual Report 2018-04-12
Annual Report 2017-04-25

Sources: Kentucky Secretary of State