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SMITH'S HOMETOWN FAMILY PRACTICE, LLC

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Company Details

Name: SMITH'S HOMETOWN FAMILY PRACTICE, LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 17 Apr 2014 (11 years ago)
Organization Date: 17 Apr 2014 (11 years ago)
Managed By: Members
Organization Number: 0884962
ZIP code: 40741
City: London, Marydell, Sasser, Tuttle
Primary County: Laurel County
Principal Office: 302 FALLS STREET, LONDON, KY 40741
Place of Formation: KENTUCKY

Registered Agent

Name Role
SHAWANA SMITH Registered Agent

Organizer

Name Role
SHAWANA SMITH Organizer

National Provider Identifier

NPI Number:
1275934614

Authorized Person:

Name:
SHAWANA M.L. SMITH
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
6065990354

Filings

Name File Date
Administrative Dissolution 2015-09-12
Articles of Organization (LLC) 2014-04-17

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Sources: Kentucky Secretary of State