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Northern Ky Internal Medicine LLC

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Company Details

Name: Northern Ky Internal Medicine LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 04 Oct 2010 (15 years ago)
Organization Date: 04 Oct 2010 (15 years ago)
Last Annual Report: 24 Jun 2015 (10 years ago)
Managed By: Members
Organization Number: 0772696
ZIP code: 41042
City: Florence
Primary County: Boone County
Principal Office: 1515 Calvary, florence, KY 41042
Place of Formation: KENTUCKY

Registered Agent

Name Role
michael Justin Registered Agent

Manager

Name Role
michael justin Manager

Organizer

Name Role
Michael Justin Organizer

National Provider Identifier

NPI Number:
1831488758

Authorized Person:

Name:
MICHAEL JUSTIN
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
8598179885

Filings

Name File Date
Administrative Dissolution 2016-10-01
Annual Report 2015-06-24
Annual Report 2014-02-24
Annual Report 2013-03-05
Annual Report 2012-03-06

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Sources: Kentucky Secretary of State