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CLARKSON CLINIC, PLLC

Company Details

Name: CLARKSON CLINIC, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 21 Nov 2006 (19 years ago)
Organization Date: 21 Nov 2006 (19 years ago)
Last Annual Report: 13 Jun 2014 (11 years ago)
Managed By: Members
Organization Number: 0651370
ZIP code: 42726
City: Clarkson, Millerstown, Peonia, Rock Creek, Wax
Primary County: Grayson County
Principal Office: 625 WEST MAIN ST. , CLARKSON , KY 42726
Place of Formation: KENTUCKY

Signature

Name Role
VICTOR F. DUVALL Signature
VICTOR DUVALL,MD Signature

Organizer

Name Role
VICTOR F. DUVALL Organizer

Registered Agent

Name Role
VICTOR F. DUVALL, MD Registered Agent

Member

Name Role
VICTOR DUVALL,MD Member

National Provider Identifier

NPI Number:
1104937820

Authorized Person:

Name:
DR. VICTOR F DUVALL
Role:
SOLE MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2702427007

Form 5500 Series

Employer Identification Number (EIN):
205936600
Plan Year:
2013
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
10
Sponsors Telephone Number:

Filings

Name File Date
Dissolution 2015-02-18
Annual Report 2014-06-13
Annual Report 2013-03-05
Annual Report 2012-02-21
Annual Report 2011-02-23

Sources: Kentucky Secretary of State