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THE FAMILY CLINIC, PLLC

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Company Details

Name: THE FAMILY CLINIC, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 13 Jun 2006 (19 years ago)
Organization Date: 13 Jun 2006 (19 years ago)
Last Annual Report: 08 Apr 2022 (3 years ago)
Managed By: Members
Organization Number: 0640622
ZIP code: 40475
City: Richmond
Primary County: Madison County
Principal Office: 3190 IRVINE ROAD, RICHMOND, KY 40475
Place of Formation: KENTUCKY

Registered Agent

Name Role
STACY ANDERSON Registered Agent

Member

Name Role
Geoffrey M Pittman Member

Organizer

Name Role
JERYL PITTMAN Organizer

National Provider Identifier

NPI Number:
1326355801

Authorized Person:

Name:
GEOFFREY PITTMAN
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
8005189245

Assumed Names

Name Status Expiration Date
THE FAMILY PRACTICE OF DR G M P Inactive 2014-03-19

Filings

Name File Date
Dissolution 2023-03-21
Annual Report 2022-04-08
Registered Agent name/address change 2022-04-08
Annual Report 2021-02-10
Annual Report 2020-02-25

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Sources: Kentucky Secretary of State