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PERRY FAMILY MEDICAL, PLLC

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Company Details

Name: PERRY FAMILY MEDICAL, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 22 Aug 2011 (14 years ago)
Organization Date: 22 Aug 2011 (14 years ago)
Last Annual Report: 18 Aug 2017 (8 years ago)
Managed By: Managers
Organization Number: 0798583
ZIP code: 42445
City: Princeton
Primary County: Caldwell County
Principal Office: 605 SOUTH JEFFERSON STREET, PRINCETON, KY 42445
Place of Formation: KENTUCKY

Member

Name Role
Jami Tabor Perry Member

Registered Agent

Name Role
JAMI TABOR PERRY, M.D. Registered Agent

Organizer

Name Role
JAMI TABOR PERRY, MD Organizer

National Provider Identifier

NPI Number:
1609148329

Authorized Person:

Name:
DR. JAMIE T PERRY
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2707440834
Fax:
2703659456

Filings

Name File Date
Administrative Dissolution 2018-10-16
Annual Report 2017-08-18
Annual Report 2016-06-22
Annual Report 2015-04-30
Reinstatement Certificate of Existence 2014-10-28

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Sources: Kentucky Secretary of State