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Mulberry Internal Medicine, PLLC

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Company Details

Name: Mulberry Internal Medicine, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 07 Sep 2010 (15 years ago)
Organization Date: 07 Sep 2010 (15 years ago)
Last Annual Report: 12 Jul 2012 (13 years ago)
Managed By: Members
Organization Number: 0770631
ZIP code: 40503
City: Lexington
Primary County: Fayette County
Principal Office: 2425 REGENCY ROAD STE B, 2425 REGENCY ROAD STE B, LEXINGTON, KY 40503
Place of Formation: KENTUCKY

Member

Name Role
Penny S Mulberry Member

Organizer

Name Role
Pixie Meredith Organizer

Registered Agent

Name Role
Penny Mulberry Registered Agent

National Provider Identifier

NPI Number:
1306156369

Authorized Person:

Name:
PENNY MULBERRY
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
8592751249
Fax:
8522751249

Filings

Name File Date
Administrative Dissolution 2013-09-28
Annual Report 2012-07-12
Principal Office Address Change 2011-02-14
Annual Report 2011-02-14

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Sources: Kentucky Secretary of State