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CHARLES K. EMBRY, M.D., P.L.L.C.

Company Details

Name: CHARLES K. EMBRY, M.D., P.L.L.C.
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
File Date: 04 May 2006 (19 years ago)
Organization Date: 04 May 2006 (19 years ago)
Last Annual Report: 03 Aug 2023 (2 years ago)
Managed By: Members
Organization Number: 0638086
ZIP code: 42701
City: Elizabethtown, E Town
Primary County: Hardin County
Principal Office: 107 N MANTLE AVE, ELIZABETHTOWN, KY 42701
Place of Formation: KENTUCKY

Member

Name Role
Charles K Embry Member

Organizer

Name Role
CHARLES K. EMBRY Organizer

Registered Agent

Name Role
CHARLES K. EMBRY Registered Agent

National Provider Identifier

NPI Number:
1578624011

Authorized Person:

Name:
DR. CHARLES KIM EMBRY
Role:
PSYCHIATRIST
Phone:

Taxonomy:

Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Filings

Name File Date
Dissolution 2024-03-20
Annual Report 2023-08-03
Annual Report 2022-01-21
Annual Report 2021-04-09
Annual Report 2020-03-04

Sources: Kentucky Secretary of State