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KENTUCKY PAIN PHYSICIANS, PSC

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Company Details

Name: KENTUCKY PAIN PHYSICIANS, PSC
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 09 Nov 2005 (20 years ago)
Organization Date: 09 Nov 2005 (20 years ago)
Last Annual Report: 25 Mar 2016 (9 years ago)
Organization Number: 0625355
Principal Office: 2550 WINDY HILL ROAD, SUITE 206, MARRIETTA, GA 30067
Place of Formation: KENTUCKY
Authorized Shares: 1000

President

Name Role
Robert E. Windsor President

Director

Name Role
Robert E. Windsor Director

Shareholder

Name Role
Robert E. Windsor Shareholder

Incorporator

Name Role
ROBERT E. WINDSOR, M.D. Incorporator

National Provider Identifier

NPI Number:
1982657524

Authorized Person:

Name:
DR. GAY RICHARDSON
Role:
CMO
Phone:

Taxonomy:

Selected Taxonomy:
363AM0700X - Medical Physician Assistant
Is Primary:
No
Selected Taxonomy:
2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
No
Selected Taxonomy:
2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician
Is Primary:
No
Selected Taxonomy:
208VP0014X - Interventional Pain Medicine Physician
Is Primary:
No
Selected Taxonomy:
363AS0400X - Surgical Physician Assistant
Is Primary:
No
Selected Taxonomy:
363LA2200X - Adult Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LX0106X - Occupational Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
291U00000X - Clinical Medical Laboratory
Is Primary:
No
Selected Taxonomy:
208VP0000X - Pain Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6068740064

Filings

Name File Date
Administrative Dissolution Return 2017-06-13
Administrative Dissolution 2017-06-02
Sixty Day Notice 2017-04-04
Agent Resignation 2017-02-28
Annual Report Amendment 2016-08-16

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Sources: Kentucky Secretary of State