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RIVERBEND PHYSICAL MEDICINE & REHABILITATION, LLC

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Company Details

Name: RIVERBEND PHYSICAL MEDICINE & REHABILITATION, LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
File Date: 13 Jul 2006 (19 years ago)
Organization Date: 13 Jul 2006 (19 years ago)
Managed By: Members
Organization Number: 0642755
ZIP code: 42303
City: Owensboro
Primary County: Daviess County
Principal Office: 1000 BRECKENRIDGE STREET, SUITE 203, OWENSBORO, KY 42303
Place of Formation: KENTUCKY

Organizer

Name Role
MARK R. HUTCHINSON Organizer

Registered Agent

Name Role
TRISTAN C. BRIONES, II Registered Agent

National Provider Identifier

NPI Number:
1871673996

Authorized Person:

Name:
DR. TRISTAN CALDERONE BRIONES II
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
Yes
Selected Taxonomy:
261QM2500X - Medical Specialty Clinic/Center
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No

Contacts:

Fax:
2709267302

Filings

Name File Date
Dissolution 2006-08-17
Articles of Organization 2006-07-13

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Sources: Kentucky Secretary of State