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KENTUCKY LAPAROSCOPIC & ADVANCED SURGICAL SPECIALISTS, PLLC

Company Details

Name: KENTUCKY LAPAROSCOPIC & ADVANCED SURGICAL SPECIALISTS, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 14 May 2007 (18 years ago)
Organization Date: 14 May 2007 (18 years ago)
Last Annual Report: 06 Jun 2018 (7 years ago)
Managed By: Members
Organization Number: 0664390
ZIP code: 41653
City: Prestonsburg, Emma, Endicott, Hippo
Primary County: Floyd County
Principal Office: 5000 KY ROUTE 321, SUITE 3141, PRESTONSBURG, KY 41653
Place of Formation: KENTUCKY

Member

Name Role
Jody Michael Johnson Member

Organizer

Name Role
JODY JOHNSON, D.O. Organizer

Registered Agent

Name Role
JODY JOHNSON, D.O. Registered Agent

National Provider Identifier

NPI Number:
1194929943

Authorized Person:

Name:
JODY MICHAEL JOHNSON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
6068868243

Filings

Name File Date
Administrative Dissolution 2019-10-16
Annual Report Return 2019-07-30
Annual Report 2018-06-06
Annual Report 2017-06-12
Annual Report 2016-05-19

Sources: Kentucky Secretary of State