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Jeffrey Leider, MD, PLLC

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Company Details

Name: Jeffrey Leider, MD, PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 08 Nov 2011 (14 years ago)
Organization Date: 08 Nov 2011 (14 years ago)
Last Annual Report: 18 Feb 2025 (4 months ago)
Managed By: Members
Organization Number: 0805057
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40207
City: Louisville, Bellewood, Brownsboro Village, Brwnsboro...
Primary County: Jefferson County
Principal Office: 4350 Brownsboro Rd. Ste 200, Louisville, KY 40207
Place of Formation: KENTUCKY

Member

Name Role
Jeffrey Scott Leider Member

Organizer

Name Role
Jeffrey S Leider Organizer

Registered Agent

Name Role
360CARE LLC Registered Agent

National Provider Identifier

NPI Number:
1063788818
Certification Date:
2022-03-03

Authorized Person:

Name:
DR. JEFFREY LEIDER
Role:
CLINICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207QG0300X - Geriatric Medicine (Family Medicine) Physician
Is Primary:
Yes

Contacts:

Fax:
2485282963

Filings

Name File Date
Principal Office Address Change 2025-02-18
Registered Agent name/address change 2025-02-18
Annual Report 2025-02-18
Principal Office Address Change 2024-05-22
Annual Report 2024-05-22

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Sources: Kentucky Secretary of State