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INDEPENDENCE FAMILY PRACTICE, P.S.C.

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Company Details

Name: INDEPENDENCE FAMILY PRACTICE, P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 29 Mar 2005 (20 years ago)
Organization Date: 29 Mar 2005 (20 years ago)
Last Annual Report: 19 Jan 2021 (4 years ago)
Organization Number: 0609458
ZIP code: 41051
City: Independence
Primary County: Kenton County
Principal Office: 5290 MADISON PIKE, SUITE 100, INDEPENDENCE, KY 41051
Place of Formation: KENTUCKY
Authorized Shares: 1000

Registered Agent

Name Role
JOHN F. ALLNUTT Registered Agent

President

Name Role
John F. Allnutt President

Secretary

Name Role
Cynthia Y. Allnutt Secretary

Vice President

Name Role
John F. Allnutt Vice President

Shareholder

Name Role
John F. Allnutt Shareholder

Incorporator

Name Role
JOHN F. ALLNUTT Incorporator

National Provider Identifier

NPI Number:
1013192376

Authorized Person:

Name:
JOHN FRANKLIN ALLNUTT
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
8599600003

Filings

Name File Date
Dissolution 2021-03-10
Annual Report 2021-01-19
Annual Report 2020-01-09
Annual Report 2019-01-22
Annual Report 2018-01-08

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Sources: Kentucky Secretary of State