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PAIN CARE OF WESTERN KENTUCKY, PLLC

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Company Details

Name: PAIN CARE OF WESTERN KENTUCKY, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 10 Aug 2010 (15 years ago)
Organization Date: 10 Aug 2010 (15 years ago)
Last Annual Report: 15 Apr 2015 (10 years ago)
Managed By: Members
Organization Number: 0768952
ZIP code: 42001
City: Paducah
Primary County: McCracken County
Principal Office: 300 BROADWAY , PADUCAH, KY 42001
Place of Formation: KENTUCKY

Registered Agent

Name Role
MARK C. WHITLOW Registered Agent

Member

Name Role
Paul Juergens Member

Organizer

Name Role
MARK C. WHITLOW Organizer

National Provider Identifier

NPI Number:
1679880686

Authorized Person:

Name:
PAUL BRIAN JUERGENS
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
208VP0014X - Interventional Pain Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6189971588

Filings

Name File Date
Dissolution 2016-01-05
Annual Report 2015-04-15
Annual Report 2014-05-06
Annual Report 2013-03-18
Annual Report 2012-03-21

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Sources: Kentucky Secretary of State