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WESTERN KENTUCKY SURGICAL ASSOCIATES, PLLC

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Company Details

Name: WESTERN KENTUCKY SURGICAL ASSOCIATES, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 21 Feb 2007 (18 years ago)
Organization Date: 21 Feb 2007 (18 years ago)
Last Annual Report: 08 Apr 2016 (9 years ago)
Managed By: Members
Organization Number: 0658122
ZIP code: 42240
City: Hopkinsville
Primary County: Christian County
Principal Office: 1722 HIGH STREET, HOPKINSVILLE, KY 42240
Place of Formation: KENTUCKY

Organizer

Name Role
LEE T. WHITE Organizer

Member

Name Role
Matthew S Robinson Member

Registered Agent

Name Role
LEE T. WHITE Registered Agent

National Provider Identifier

NPI Number:
1235264565

Authorized Person:

Name:
DR. FRANCIS MARSHALL VAN METER
Role:
MANAGING PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
2708868307

Form 5500 Series

Employer Identification Number (EIN):
208498007
Plan Year:
2015
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
17
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
16
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
15
Sponsors Telephone Number:

Assumed Names

Name Status Expiration Date
PENNYRILE BARIATRIC SURGERY Inactive 2015-05-04

Filings

Name File Date
Dissolution 2016-09-14
Annual Report 2016-04-08
Annual Report 2015-05-12
Annual Report 2014-04-07
Annual Report 2013-06-17

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Sources: Kentucky Secretary of State