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TRI-STATE FAMILY MEDICINE, PSC

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Company Details

Name: TRI-STATE FAMILY MEDICINE, PSC
Legal type: Kentucky Professional Services Corp
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 12 Apr 2006 (19 years ago)
Organization Date: 12 Apr 2006 (19 years ago)
Last Annual Report: 07 Feb 2025 (4 months ago)
Organization Number: 0636582
Industry: Health Services
Number of Employees: Small (0-19)
Principal Office: 73 PRIVATE DRIVE 633, CHESAPEAKE, OH 45619
Place of Formation: KENTUCKY
Authorized Shares: 100

CEO

Name Role
arash daemi kayfan CEO

Shareholder

Name Role
arash daemi kayfan Shareholder

Incorporator

Name Role
ARASH KAYFAN, DO Incorporator

Registered Agent

Name Role
GEOFFREY GRIFFITH Registered Agent

National Provider Identifier

NPI Number:
1447291240

Authorized Person:

Name:
ARASH DAEMI KAYFAN
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
204691731
Plan Year:
2016
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
4
Sponsors Telephone Number:

Assumed Names

Name Status Expiration Date
WAIST CONTROL WEIGHT LOSS Inactive 2016-08-05

Filings

Name File Date
Reinstatement Approval Letter UI 2025-02-07
Reinstatement 2025-02-07
Reinstatement Certificate of Existence 2025-02-07
Registered Agent name/address change 2025-02-07
Reinstatement Approval Letter Revenue 2025-02-07

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Sources: Kentucky Secretary of State