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HENDERSON PEDIATRICS, PSC

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Company Details

Name: HENDERSON PEDIATRICS, PSC
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 28 Jun 2007 (18 years ago)
Organization Date: 28 Jun 2007 (18 years ago)
Last Annual Report: 31 Jan 2014 (11 years ago)
Organization Number: 0667813
ZIP code: 42420
City: Henderson
Primary County: Henderson County
Principal Office: 1035 N ELM, HENDERSON, KY 42420
Place of Formation: KENTUCKY
Authorized Shares: 1000

Vice President

Name Role
Rachel Evans Farmer Vice President

Director

Name Role
Rachel Evans Farmer Director

Shareholder

Name Role
Rachel Evans Farmer Shareholder

Incorporator

Name Role
RACHEL EVANS FARMER, MD Incorporator

Registered Agent

Name Role
RACHEL E. FARMER Registered Agent

President

Name Role
Rachel Evans Farmer President

Secretary

Name Role
Rachel Evans Farmer Secretary

National Provider Identifier

NPI Number:
1497088090

Authorized Person:

Name:
KIMBERLY K RUDD
Role:
BILLING SPECIALIST
Phone:

Taxonomy:

Selected Taxonomy:
2080A0000X - Pediatric Adolescent Medicine Physician
Is Primary:
Yes

Contacts:

Filings

Name File Date
Dissolution 2015-02-10
Annual Report 2014-01-31
Annual Report 2013-02-04
Annual Report 2012-03-13
Annual Report 2011-01-27

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Sources: Kentucky Secretary of State