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ELLEN BURNETT, MD PLLC

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Company Details

Name: ELLEN BURNETT, MD PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
File Date: 28 Aug 2006 (19 years ago)
Organization Date: 28 Aug 2006 (19 years ago)
Last Annual Report: 26 Feb 2007 (18 years ago)
Managed By: Members
Organization Number: 0645767
ZIP code: 42066
City: Mayfield
Primary County: Graves County
Principal Office: 804 USHER STREET, MAYFIELD, KY 42066
Place of Formation: KENTUCKY

Organizer

Name Role
ELLEN BURNETT Organizer

Registered Agent

Name Role
ELLEN BURNETT Registered Agent

Member

Name Role
Ellen Burnett Member

National Provider Identifier

NPI Number:
1689748774

Authorized Person:

Name:
ELLEN M BURNETT
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207V00000X - Obstetrics & Gynecology Physician
Is Primary:
Yes

Contacts:

Fax:
2702514546

Filings

Name File Date
Administrative Dissolution 2008-11-01
Annual Report 2007-02-26
Articles of Organization 2006-08-28

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Sources: Kentucky Secretary of State