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Kentucky Primary Medical Services, LLC

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Company Details

Name: Kentucky Primary Medical Services, LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 25 Jun 2012 (13 years ago)
Organization Date: 25 Jun 2012 (13 years ago)
Last Annual Report: 21 Mar 2023 (2 years ago)
Managed By: Managers
Organization Number: 0832177
ZIP code: 41701
City: Hazard, Browns Fork, Typo, Walkertown
Primary County: Perry County
Principal Office: 311 Roy Campbell Drive, Hazard, KY 41701
Place of Formation: KENTUCKY

Manager

Name Role
Phillip Randy Mullins Manager

Organizer

Name Role
RANDY MULLINS Organizer

Registered Agent

Name Role
RANDY MULLINS Registered Agent

National Provider Identifier

NPI Number:
1972867224

Authorized Person:

Name:
MR. PHILLIP RANDY MULLINS
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6064870777

Filings

Name File Date
Administrative Dissolution 2024-10-12
Annual Report 2023-03-21
Annual Report 2022-05-25
Annual Report Amendment 2021-05-17
Annual Report 2021-05-17

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Sources: Kentucky Secretary of State