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VALENCIA FAMILY PRACTICE, LLC

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Company Details

Name: VALENCIA FAMILY PRACTICE, LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 19 May 2009 (16 years ago)
Organization Date: 19 May 2009 (16 years ago)
Last Annual Report: 25 Jun 2010 (15 years ago)
Managed By: Managers
Organization Number: 0730165
ZIP code: 40906
City: Barbourville, Bailey Switch, Baughman, Crane Nest, Gau...
Primary County: Knox County
Principal Office: 80 HOSPITAL DRIVE, BARBOURVILLE, KY 40906
Place of Formation: KENTUCKY

Registered Agent

Name Role
CRAIG MORGAN Registered Agent

Signature

Name Role
SATYABRATA CHATTERJEE Signature
CRAIG MORGAN Signature

Organizer

Name Role
RAINIER GONZALEZ Organizer

Manager

Name Role
KUMI BISCARDI Manager

National Provider Identifier

NPI Number:
1477781904

Authorized Person:

Name:
MS. KRISTI M. PARTIN
Role:
C.E.O.
Phone:

Taxonomy:

Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
Yes

Contacts:

Fax:
6062487947

Filings

Name File Date
Administrative Dissolution 2011-09-10
Annual Report 2010-06-25
Principal Office Address Change 2009-11-27
Registered Agent name/address change 2009-11-27
Articles of Organization (LLC) 2009-05-19

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Sources: Kentucky Secretary of State