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BOWLING GREEN KIDNEY CENTER, INC.

Company Details

Name: BOWLING GREEN KIDNEY CENTER, INC.
Legal type: Kentucky Corporation
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 08 Apr 2008 (17 years ago)
Organization Date: 08 Apr 2008 (17 years ago)
Last Annual Report: 16 Jun 2014 (11 years ago)
Organization Number: 0702481
Principal Office: 920 WINTER ST, WALTHAM, MA 02451
Place of Formation: KENTUCKY
Authorized Shares: 1000

Secretary

Name Role
DOUGLAS G KOTT Secretary

Director

Name Role
WILLIAM J VALLE Director
RONALD J KUERBITZ Director

President

Name Role
WILLIAM J VALLE President

Incorporator

Name Role
RAJANATHAN KARALAKULASINGAM, M.D. Incorporator

Assistant Treasurer

Name Role
PAUL COLANTONIO Assistant Treasurer
BRYAN MELLO Assistant Treasurer
MARIA NOTAR Assistant Treasurer

CFO

Name Role
ANGELO MOESSLANG CFO

Assistant Secretary

Name Role
JESSICA STEWART Assistant Secretary
JOLIE SPRING Assistant Secretary

Vice President

Name Role
DEBORAH HARVEY Vice President
JOLENE VARNEY Vice President
ALLEN MILLS Vice President
JOSEPH RUMA Vice President

Treasurer

Name Role
MARK FAWCETT Treasurer

Registered Agent

Name Role
RAJANATHAN KARALAKULASINGAM, M.D. Registered Agent

National Provider Identifier

NPI Number:
1497740997

Authorized Person:

Name:
DR. RAJANTHAN KARALAKULASINGAM
Role:
PRESIDENT/DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
5024598626
Fax:
2707939558

Former Company Names

Name Action
BOWLING GREEN DIALYSIS CENTER, INC. Old Name

Filings

Name File Date
Dissolution 2015-05-26
Principal Office Address Change 2014-06-16
Annual Report 2014-06-16
Annual Report 2013-04-24
Amendment 2012-05-30

Sources: Kentucky Secretary of State