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FYI HEALTHCARE CLINIC, PLLC

Company Details

Name: FYI HEALTHCARE CLINIC, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 16 Sep 2011 (14 years ago)
Organization Date: 16 Sep 2011 (14 years ago)
Last Annual Report: 21 Oct 2022 (3 years ago)
Managed By: Members
Organization Number: 0800436
ZIP code: 42320
City: Beaver Dam
Primary County: Ohio County
Principal Office: 1219 NORTH MAIN STREET, SUITE 101, BEAVER DAM, KY 42320
Place of Formation: KENTUCKY

Member

Name Role
SUSAN S RICE Member
CYNTHIA LIKENS NORSWORTHY Member

Organizer

Name Role
CYNTHIA LIKENS Organizer
SUSAN RICE Organizer

Registered Agent

Name Role
CYNTHIA NORSWORTHY Registered Agent

National Provider Identifier

NPI Number:
1619258498

Authorized Person:

Name:
SUSAN SMITH RICE
Role:
CO-OWNER
Phone:

Taxonomy:

Selected Taxonomy:
2083X0100X - Occupational Medicine Physician
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
2702745600

Filings

Name File Date
Reinstatement 2022-10-21
Reinstatement Approval Letter Revenue 2022-10-21
Reinstatement Certificate of Existence 2022-10-21
Reinstatement 2022-10-21
Reinstatement Certificate of Existence 2022-10-21

Sources: Kentucky Secretary of State