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JACKSON PURCHASE PEDIATRICS PLLC

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Company Details

Name: JACKSON PURCHASE PEDIATRICS PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 31 Mar 2009 (16 years ago)
Organization Date: 31 Mar 2009 (16 years ago)
Last Annual Report: 01 Jun 2015 (10 years ago)
Managed By: Managers
Organization Number: 0726798
ZIP code: 42066
City: Mayfield
Primary County: Graves County
Principal Office: 1111 MEDICAL CENTER CIRCLE, MAYFIELD, KY 42066
Place of Formation: KENTUCKY

Organizer

Name Role
ANNALEE L PAUL Organizer

Registered Agent

Name Role
ANNALEE L PAUL Registered Agent

Manager

Name Role
Annalee Paul Manager

National Provider Identifier

NPI Number:
1477795086

Authorized Person:

Name:
ANNALEE LYNN PAUL
Role:
MD/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
Yes

Contacts:

Fax:
2702514546

Filings

Name File Date
Dissolution 2016-02-22
Annual Report 2015-06-01
Registered Agent name/address change 2014-05-27
Principal Office Address Change 2014-05-27
Annual Report 2014-05-27

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Sources: Kentucky Secretary of State