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Devonna Giles Durham APRN, PLLC

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Company Details

Name: Devonna Giles Durham APRN, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 17 Jun 2013 (12 years ago)
Organization Date: 17 Jun 2013 (12 years ago)
Managed By: Members
Organization Number: 0860051
ZIP code: 40906
City: Barbourville, Bailey Switch, Baughman, Crane Nest, Gau...
Primary County: Knox County
Principal Office: 89 Daniel Boone Drive, Barbourville, KY 40906
Place of Formation: KENTUCKY

Organizer

Name Role
Devonna Giles Durham Organizer

Registered Agent

Name Role
Devonna Giles Durham Registered Agent

National Provider Identifier

NPI Number:
1760822969

Authorized Person:

Name:
DEVONNA GILES DURHAM
Role:
NURSE PRACTITIONER
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6065266263

Filings

Name File Date
Administrative Dissolution 2014-09-30

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Sources: Kentucky Secretary of State