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TENDER PAIN CARE CLINIC PSC

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Company Details

Name: TENDER PAIN CARE CLINIC PSC
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 08 Aug 2006 (19 years ago)
Organization Date: 08 Aug 2006 (19 years ago)
Last Annual Report: 19 Jun 2014 (11 years ago)
Organization Number: 0644491
ZIP code: 40204
City: Louisville
Primary County: Jefferson County
Principal Office: 801 BARRET AVE, STE 104, LOUISVILLE, KY 40204
Place of Formation: KENTUCKY
Authorized Shares: 1000

Registered Agent

Name Role
MAZEN KHAYAT Registered Agent

President

Name Role
Mazen Khayat President

Director

Name Role
Mazen Khayat Director

Shareholder

Name Role
Mazen Khayat Shareholder

Incorporator

Name Role
MAZEN KHAYAT Incorporator

National Provider Identifier

NPI Number:
1639248578

Authorized Person:

Name:
MAZEN KHAYAT
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
5025835560

Filings

Name File Date
Administrative Dissolution 2015-09-12
Annual Report 2014-06-19
Reinstatement 2013-10-29
Reinstatement Approval Letter Revenue 2013-10-29
Reinstatement Certificate of Existence 2013-10-29

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Sources: Kentucky Secretary of State