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PREMIUM PEDIATRICS, PLLC

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Company Details

Name: PREMIUM PEDIATRICS, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
File Date: 02 Aug 2006 (19 years ago)
Organization Date: 02 Aug 2006 (19 years ago)
Managed By: Members
Organization Number: 0644167
ZIP code: 42718
City: Campbellsville, Campbellsvlle, Finley
Primary County: Taylor County
Principal Office: 307 E. BROADWAY STREET, CAMPBELLSVILLE, KY 42718
Place of Formation: KENTUCKY

Organizer

Name Role
DAN GEORGE BODEANU Organizer

Registered Agent

Name Role
DAN GEORGE BODEANU Registered Agent

National Provider Identifier

NPI Number:
1174699359

Authorized Person:

Name:
DAN G. BODEANU
Role:
PHYSICIAN AND OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
Yes

Contacts:

Fax:
2705724227

Filings

Name File Date
Administrative Dissolution 2007-11-01
Articles of Organization 2006-08-02

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Sources: Kentucky Secretary of State