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BLUEGRASS WOMEN'S HEALTH, PLLC

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Company Details

Name: BLUEGRASS WOMEN'S HEALTH, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
File Date: 17 Oct 2005 (20 years ago)
Organization Date: 17 Oct 2005 (20 years ago)
Managed By: Members
Organization Number: 0623723
ZIP code: 42276
City: Russellville, Oakville
Primary County: Logan County
Principal Office: 1621 NASHVILLE STREET, SUITE 101, RUSSELLVILLE, KY 42276
Place of Formation: KENTUCKY

Organizer

Name Role
SANJAY TANDON, M.D. Organizer

Registered Agent

Name Role
JOSEPH C. BENTON, ESQUIRE Registered Agent

National Provider Identifier

NPI Number:
1477500668

Authorized Person:

Name:
SANJAY TANDON
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207V00000X - Obstetrics & Gynecology Physician
Is Primary:
Yes

Contacts:

Fax:
2707258375

Filings

Name File Date
Administrative Dissolution 2006-11-02
Articles of Organization 2005-10-17

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Sources: Kentucky Secretary of State