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KENTUCKY PAIN MANAGEMENT SERVICES, LLC

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Company Details

Name: KENTUCKY PAIN MANAGEMENT SERVICES, LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 28 Aug 2006 (19 years ago)
Organization Date: 28 Aug 2006 (19 years ago)
Last Annual Report: 18 Feb 2025 (4 months ago)
Managed By: Members
Organization Number: 0645798
Industry: Hotels, Rooming Houses, Camps, and other Lodging Places
Number of Employees: Medium (20-99)
ZIP code: 41701
City: Hazard, Browns Fork, Typo, Walkertown
Primary County: Perry County
Principal Office: 311 ROY CAMPBELL DRIVE, HAZARD, KY 41701
Place of Formation: KENTUCKY

Organizer

Name Role
RANDY MULLINS Organizer

Registered Agent

Name Role
RANDY MULLINS Registered Agent

Member

Name Role
RANDY MULLINS Member

National Provider Identifier

NPI Number:
1376692657

Authorized Person:

Name:
MR. PHILLIP R MULLINS
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
208VP0000X - Pain Medicine Physician
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
261QP3300X - Pain Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6064870777

Form 5500 Series

Employer Identification Number (EIN):
205350815
Plan Year:
2011
Number Of Participants:
23
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
24
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
23
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
23
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
23
Sponsors Telephone Number:

Filings

Name File Date
Annual Report 2025-02-18
Annual Report 2024-03-06
Annual Report 2023-03-21
Annual Report 2022-05-25
Annual Report 2021-07-08

USAspending Awards / Financial Assistance

Date:
2020-04-29
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
310400.00
Total Face Value Of Loan:
310400.00

Paycheck Protection Program

Date Approved:
2020-04-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
310400
Current Approval Amount:
310400
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
313954.72

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Sources: Kentucky Secretary of State