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WILLIAM D KIRK, M.D., PLLC

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Company Details

Name: WILLIAM D KIRK, M.D., PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 06 Jan 2010 (15 years ago)
Organization Date: 06 Jan 2010 (15 years ago)
Last Annual Report: 19 Feb 2025 (4 months ago)
Managed By: Members
Organization Number: 0751082
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40033
City: Lebanon, Calvary
Primary County: Marion County
Principal Office: 312 WEST HIGH STREET, LEBANON, KY 40033
Place of Formation: KENTUCKY

Organizer

Name Role
WILLIAM G. (JERRY) FOWLER II Organizer

Member

Name Role
WILLIAM D KIRK Member

Registered Agent

Name Role
104, LLC Registered Agent

National Provider Identifier

NPI Number:
1417043886

Authorized Person:

Name:
DR. WILLIAM DEADRICK KIRK
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
2706929236

Assumed Names

Name Status Expiration Date
KY WORX Active 2029-01-24
LEBANON MEDICAL ASSOCIATES Inactive 2019-09-08

Filings

Name File Date
Annual Report 2025-02-19
Annual Report 2024-06-24
Certificate of Assumed Name 2024-01-24
Certificate of Assumed Name 2024-01-24
Annual Report 2023-06-02

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Sources: Kentucky Secretary of State