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ADAM ELLIS, MD, PLLC

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Company Details

Name: ADAM ELLIS, MD, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 14 Jun 2006 (19 years ago)
Organization Date: 14 Jun 2006 (19 years ago)
Last Annual Report: 08 Feb 2012 (13 years ago)
Managed By: Members
Organization Number: 0640732
ZIP code: 42276
City: Russellville, Oakville
Primary County: Logan County
Principal Office: 1623 NASHVILLE STREET, SUITE 106, RUSSELLVILLE, KY 42276
Place of Formation: KENTUCKY

Organizer

Name Role
MICHAEL COVINGTON Organizer

Registered Agent

Name Role
ADAM ELLIS Registered Agent

Member

Name Role
ADAM W ELLIS MD Member

National Provider Identifier

NPI Number:
1033216270

Authorized Person:

Name:
DR. ADAM ELLIS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
2707269008

Filings

Name File Date
Dissolution 2013-04-16
Annual Report 2012-02-08
Annual Report 2011-03-01
Annual Report 2010-09-10
Annual Report 2009-06-29

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Sources: Kentucky Secretary of State