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EASTERN KENTUCKY KIDNEY CARE, PSC

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Company Details

Name: EASTERN KENTUCKY KIDNEY CARE, PSC
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 03 Dec 2007 (18 years ago)
Organization Date: 03 Dec 2007 (18 years ago)
Last Annual Report: 30 Apr 2019 (6 years ago)
Organization Number: 0680004
ZIP code: 41501
City: Pikeville, Broad Bottom, Gulnare, Mccombs, Meta, Ne...
Primary County: Pike County
Principal Office: 141 WEDDINGTON BRANCH ROAD, PIKEVILLE, KY 41501
Place of Formation: KENTUCKY
Authorized Shares: 500

President

Name Role
KASSAW A JOSEPH President

Shareholder

Name Role
KASSAW A JOSEPH Shareholder

Registered Agent

Name Role
KASSAW A. JOSEPH Registered Agent

Incorporator

Name Role
SAID A. YUSUF Incorporator

National Provider Identifier

NPI Number:
1881874592

Authorized Person:

Name:
MR. KASSAW A JOSEPH
Role:
PHYSICIAN/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207RN0300X - Nephrology Physician
Is Primary:
Yes

Contacts:

Fax:
6064370618

Form 5500 Series

Employer Identification Number (EIN):
260829076
Plan Year:
2018
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
7
Sponsors Telephone Number:

Filings

Name File Date
Administrative Dissolution Return 2020-12-18
Administrative Dissolution 2020-10-08
Sixty Day Notice Return 2020-08-24
Annual Report 2019-04-30
Annual Report 2018-04-17

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Sources: Kentucky Secretary of State