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ELITE EMERGENCY SERVICES OF KENTUCKY, PLLC

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Company Details

Name: ELITE EMERGENCY SERVICES OF KENTUCKY, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 17 Jan 2012 (13 years ago)
Organization Date: 17 Jan 2012 (13 years ago)
Last Annual Report: 22 Jun 2023 (2 years ago)
Managed By: Managers
Organization Number: 0810027
Principal Office: 5121 MARYLAND WAY SUITE 300, BRENTWOOD, TN 37027-5355
Place of Formation: KENTUCKY

Manager

Name Role
Tony Briningstool Manager

Organizer

Name Role
DAN E. HUFFSTUTTER Organizer

Registered Agent

Name Role
COGENCY GLOBAL, INC. Registered Agent

National Provider Identifier

NPI Number:
1285909671

Authorized Person:

Name:
SAMUEL C. CLEMMONS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
204R00000X - Electrodiagnostic Medicine Physician
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
171W00000X - Contractor
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207P00000X - Emergency Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6157605985

Former Company Names

Name Action
ELITE EMERGENCY SERVICES OF KENTUCKY, LLC Old Name

Filings

Name File Date
Administrative Dissolution 2024-10-12
Annual Report 2023-06-22
Annual Report 2022-05-26
Annual Report 2021-05-20
Annual Report 2020-05-28

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Sources: Kentucky Secretary of State