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CARDIOVASCULAR CONSULTANTS OF KENTUCKY, LLC

Company Details

Name: CARDIOVASCULAR CONSULTANTS OF KENTUCKY, LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 17 Oct 2012 (13 years ago)
Organization Date: 17 Oct 2012 (13 years ago)
Last Annual Report: 05 May 2015 (10 years ago)
Managed By: Members
Organization Number: 0840619
ZIP code: 41056
City: Maysville, Sardis
Primary County: Mason County
Principal Office: 1 W MCDONALD PKWY, SUITE 3B, MAYSVILLE, KY 41056
Place of Formation: KENTUCKY

Member

Name Role
Matthew Shotwell Member

Organizer

Name Role
MATTHEW SHOTWELL Organizer

Registered Agent

Name Role
MATTHEW SHOTWELL Registered Agent

National Provider Identifier

NPI Number:
1902140791

Authorized Person:

Name:
DR. MATHEW K SHOTWELL
Role:
OWNER/PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
Yes

Contacts:

Fax:
8597450836

Former Company Names

Name Action
CARDIOLOGY CONSULTANTS OF KENTUCKY LLC Old Name

Filings

Name File Date
Administrative Dissolution 2016-10-01
Annual Report 2015-05-05
Annual Report 2014-06-11
Annual Report 2013-05-03
Amendment 2012-10-22

Sources: Kentucky Secretary of State