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DAVID R. KELLY, MD, P.S.C.

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Company Details

Name: DAVID R. KELLY, MD, P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 06 Jun 2005 (20 years ago)
Organization Date: 06 Jun 2005 (20 years ago)
Last Annual Report: 08 Mar 2024 (a year ago)
Organization Number: 0614620
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40502
City: Lexington
Primary County: Fayette County
Principal Office: 309 LEAWOOD DRIVE, LEXINGTON, KY 40502
Place of Formation: KENTUCKY
Authorized Shares: 1000

President

Name Role
David R Kelly President

Secretary

Name Role
Gina L Kelly Secretary

Director

Name Role
David R Kelly Director
Gina L Kelly Director

Registered Agent

Name Role
DAVID R. KELLY Registered Agent

Shareholder

Name Role
David R Kelly Shareholder
Gina L Kelly Shareholder

Incorporator

Name Role
DAVID R. KELLY Incorporator

National Provider Identifier

NPI Number:
1457402786

Authorized Person:

Name:
DR. DAVID ROBERT KELLY
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
2084N0400X - Neurology Physician
Is Primary:
Yes

Contacts:

Fax:
8592788683

Filings

Name File Date
Dissolution 2025-01-08
Annual Report 2024-03-08
Annual Report 2023-03-31
Annual Report 2022-03-05
Annual Report 2021-02-09

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Sources: Kentucky Secretary of State