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WILLIAMSON FOOT CLINIC, PLLC

Company Details

Name: WILLIAMSON FOOT CLINIC, PLLC
Legal type: Foreign Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 03 Apr 2008 (17 years ago)
Authority Date: 03 Apr 2008 (17 years ago)
Last Annual Report: 06 Jun 2016 (9 years ago)
Organization Number: 0702180
ZIP code: 41503
City: South Williamson, S Williamson
Primary County: Pike County
Principal Office: LAMBERT PROFESSIONAL BLDG., SUITE 202, 28531 US HWY 119, SOUTH WILLIAMSON, KY 41503
Place of Formation: WEST VIRGINIA

Organizer

Name Role
KENNETH B. AVERY Organizer

Registered Agent

Name Role
KY SECRETARY OF STATE Registered Agent

Member

Name Role
KENNETH AVERY Member

National Provider Identifier

NPI Number:
1376642215

Authorized Person:

Name:
DR. KENNETH BURTON AVERY
Role:
PODIATRIST
Phone:

Taxonomy:

Selected Taxonomy:
213E00000X - Podiatrist
Is Primary:
Yes

Contacts:

Fax:
6062375001

Filings

Name File Date
Revocation of Certificate of Authority 2017-10-09
Annual Report 2016-06-06
Annual Report 2015-04-21
Annual Report 2014-03-14
Annual Report 2013-02-19

Sources: Kentucky Secretary of State