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SURGICAL GROUP OF PADUCAH, P.S.C.

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Company Details

Name: SURGICAL GROUP OF PADUCAH, P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 17 May 2006 (19 years ago)
Organization Date: 17 May 2006 (19 years ago)
Last Annual Report: 30 Jun 2023 (2 years ago)
Organization Number: 0638918
ZIP code: 42003
City: Paducah
Primary County: McCracken County
Principal Office: 2601 KENTUCKY AVENUE, DOB 1 SUITE 201, PADUCAH, KY 42003
Place of Formation: KENTUCKY
Authorized Shares: 1000

President

Name Role
KEVIN E STIGALL, MD President

Vice President

Name Role
DANA R TYRRELL, MD Vice President
APRIL L. JACKSON Vice President

Director

Name Role
KEVIN E STIGALL, MD Director
DANA R TYRRELL, MD Director
APRIL L. JACKSON Director

Shareholder

Name Role
KEVIN E STIGALL, MD Shareholder
DANA R TYRRELL, MD Shareholder
APRIL L. JACKSON Shareholder

Incorporator

Name Role
KEVIN E. STIGALL Incorporator

Registered Agent

Name Role
KEVIN E. STIGALL Registered Agent

National Provider Identifier

NPI Number:
1841236809

Authorized Person:

Name:
CINDY FORTHMAN
Role:
BUSINESS MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
2705389554

Filings

Name File Date
Dissolution 2023-08-17
Annual Report 2023-06-30
Annual Report 2022-03-31
Annual Report 2021-04-16
Annual Report 2020-03-17

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Sources: Kentucky Secretary of State