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SOUTHERN KENTUCKY MEDICAL ASSOCIATES, PSC

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Company Details

Name: SOUTHERN KENTUCKY MEDICAL ASSOCIATES, PSC
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 26 Aug 2009 (16 years ago)
Organization Date: 26 Aug 2009 (16 years ago)
Last Annual Report: 29 Jun 2012 (13 years ago)
Organization Number: 0740247
ZIP code: 42642
City: Russell Springs, Russell Spgs, Webbs Cross Roads, Webbs X...
Primary County: Russell County
Principal Office: P.O. BOX 1383, RUSSELL SPRINGS, KY 42642
Place of Formation: KENTUCKY
Authorized Shares: 100

Incorporator

Name Role
ANGIE CUNDIFF-ROY Incorporator

President

Name Role
Angie Cundiff-Roy President

Secretary

Name Role
Stephen Roy Secretary

Vice President

Name Role
Angela Cundiff-Roy Vice President

Treasurer

Name Role
Angela Cundiff-Roy Treasurer

Shareholder

Name Role
Angie Cundiff-Roy Shareholder

Registered Agent

Name Role
ANGIE CUNDIFF-ROY Registered Agent

National Provider Identifier

NPI Number:
1821392515

Authorized Person:

Name:
ANGELA CUNDIFF-ROY
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
363LA2200X - Adult Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
Yes

Contacts:

Former Company Names

Name Action
PA & ASSOCIATES, PSC Old Name

Filings

Name File Date
Dissolution 2013-03-21
Annual Report 2012-06-29
Annual Report Amendment 2011-07-19
Annual Report 2011-03-30
Amendment 2011-01-12

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Sources: Kentucky Secretary of State