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KENTUCKY DERMATOLOGY OBS LONDON, INC.

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Company Details

Name: KENTUCKY DERMATOLOGY OBS LONDON, INC.
Legal type: Kentucky Corporation
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 02 Sep 2005 (20 years ago)
Organization Date: 02 Sep 2005 (20 years ago)
Last Annual Report: 29 Jun 2020 (5 years ago)
Organization Number: 0620980
ZIP code: 40503
City: Lexington
Primary County: Fayette County
Principal Office: 177 BURT ROAD, LEXINGTON, KY 40503
Place of Formation: KENTUCKY
Authorized Shares: 1000

Incorporator

Name Role
FRANK D. COMBS Incorporator

Registered Agent

Name Role
FRANK D. COMBS Registered Agent

Sole Officer

Name Role
CLIFTON SMITH Sole Officer

Director

Name Role
CLIFTON SMITH Director

National Provider Identifier

NPI Number:
1336271048

Authorized Person:

Name:
DR. CLIFTON SMITH
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8592763373

Filings

Name File Date
Dissolution 2021-05-24
Annual Report 2020-06-29
Annual Report 2019-06-26
Annual Report 2018-06-22
Annual Report 2017-06-26

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Sources: Kentucky Secretary of State