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Old Henry Family Practice, PLLC

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Company Details

Name: Old Henry Family Practice, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 28 May 2009 (16 years ago)
Organization Date: 28 May 2009 (16 years ago)
Last Annual Report: 25 Jun 2019 (6 years ago)
Managed By: Members
Organization Number: 0730753
ZIP code: 40245
City: Louisville, Coldstream, Worthington Hills, Worthngtn...
Primary County: Jefferson County
Principal Office: 2503 BUSH RIDGE DRIVE, LOUISVILLE, KY 40245
Place of Formation: KENTUCKY

Registered Agent

Name Role
RICHA G. JAIN Registered Agent

Member

Name Role
Richa Gupta Jain Member

Organizer

Name Role
Sanjay Jain Organizer

National Provider Identifier

NPI Number:
1619202306

Authorized Person:

Name:
RICHA GUPTA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
5022902839

Filings

Name File Date
Administrative Dissolution 2020-10-08
Annual Report 2019-06-25
Annual Report 2018-05-15
Annual Report 2017-05-15
Registered Agent name/address change 2017-05-15

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Sources: Kentucky Secretary of State