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NOVA FAMILY MEDICINE, INC.

Company Details

Name: NOVA FAMILY MEDICINE, INC.
Legal type: Kentucky Corporation
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 12 Jun 2006 (19 years ago)
Organization Date: 12 Jun 2006 (19 years ago)
Last Annual Report: 06 May 2016 (9 years ago)
Organization Number: 0640582
ZIP code: 42701
City: Elizabethtown, E Town
Primary County: Hardin County
Principal Office: 800 CARDINAL DRIVE, SUITE 202, ELIZABETHTOWN, KY 42701
Place of Formation: KENTUCKY
Authorized Shares: 1000

Director

Name Role
SHELLEY L ROBY Director

Incorporator

Name Role
SHELLEY L ROBY Incorporator
BEVERLY A KESTLER Incorporator

Sole Officer

Name Role
SHELLEY L ROBY Sole Officer

Registered Agent

Name Role
SHELLEY L. ROBY Registered Agent

National Provider Identifier

NPI Number:
1104943943

Authorized Person:

Name:
SHELLEY L ROBY
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
2707351696

Filings

Name File Date
Administrative Dissolution Return 2017-10-31
Administrative Dissolution 2017-10-09
Sixty Day Notice Return 2017-08-21
Annual Report 2016-05-06
Registered Agent name/address change 2015-05-12

Sources: Kentucky Secretary of State