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Western Kentucky Pain Management Center, L.L.C.

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Company Details

Name: Western Kentucky Pain Management Center, L.L.C.
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 24 Sep 2010 (15 years ago)
Organization Date: 24 Sep 2010 (15 years ago)
Last Annual Report: 19 Jul 2011 (14 years ago)
Managed By: Members
Organization Number: 0772087
ZIP code: 41042
City: Florence
Primary County: Boone County
Principal Office: 7988 TANNERS GATE LANE , FLORENCE, KY 41042
Place of Formation: KENTUCKY

Organizer

Name Role
Ray Imhoff Organizer

Registered Agent

Name Role
STEVEN J. MEGERLE Registered Agent

Member

Name Role
Brad Hamblen Member

National Provider Identifier

NPI Number:
1538446224

Authorized Person:

Name:
BRAD HAMBLEN
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
Yes

Contacts:

Fax:
8597469555
Fax:
2706834075

Assumed Names

Name Status Expiration Date
WESTERN KENTUCKY PAIN Expiring 2025-05-29

Filings

Name File Date
Certificate of Assumed Name 2020-05-29
Administrative Dissolution 2012-09-11
Annual Report 2011-07-19
Principal Office Address Change 2011-05-18
Registered Agent name/address change 2011-05-18

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Sources: Kentucky Secretary of State