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COPPER CREEK MIDWIFERY AND FAMILY PRACTICE LLC

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Company Details

Name: COPPER CREEK MIDWIFERY AND FAMILY PRACTICE LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 29 May 2014 (11 years ago)
Organization Date: 29 May 2014 (11 years ago)
Last Annual Report: 01 Jul 2017 (8 years ago)
Managed By: Managers
Organization Number: 0888511
ZIP code: 40422
City: Danville
Primary County: Boyle County
Principal Office: 416 SOUTH 4TH STREET, DANVILLE, KY 40422
Place of Formation: KENTUCKY

Registered Agent

Name Role
CHRISTINA SCRIBNER Registered Agent

Member

Name Role
Christina Skees Scribner Member
Jamin Andrew Scribner Member

Organizer

Name Role
LEGALZOOM.COM, INC. Organizer

National Provider Identifier

NPI Number:
1174973705

Authorized Person:

Name:
CHRISTINA SCRIBNER
Role:
OWNER; APRN
Phone:

Taxonomy:

Selected Taxonomy:
367A00000X - Advanced Practice Midwife
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Filings

Name File Date
Administrative Dissolution Return 2018-11-29
Administrative Dissolution 2018-10-16
Sixty Day Notice Return 2018-09-27
Principal Office Address Change 2017-07-01
Annual Report 2017-07-01

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Sources: Kentucky Secretary of State