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KENTUCKY EMERGENCY-I SERVICES P.S.C.

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Company Details

Name: KENTUCKY EMERGENCY-I SERVICES P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 18 Jun 2014 (11 years ago)
Organization Date: 18 Jun 2014 (11 years ago)
Last Annual Report: 28 Jun 2024 (a year ago)
Organization Number: 0890137
Industry: Health Services
Number of Employees: Small (0-19)
Principal Office: 20 BURTON HILLS BLVD, Suite 500, NASHVILLE, TN 37215
Place of Formation: KENTUCKY
Authorized Shares: 1000

Registered Agent

Name Role
CORPORATION SERVICE COMPANY Registered Agent

President

Name Role
Andrew W. Mulvey MD President

Shareholder

Name Role
Mark Jeffrey Slepin MD Shareholder

Incorporator

Name Role
JOSEPH H GATEWOOD Incorporator

Treasurer

Name Role
Matthew Musso Treasurer

National Provider Identifier

NPI Number:
1982009585
Certification Date:
2021-01-05

Authorized Person:

Name:
KATHY KONDAS
Role:
OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207P00000X - Emergency Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2147122444

Filings

Name File Date
Principal Office Address Change 2024-06-28
Annual Report 2024-06-28
Annual Report 2023-06-07
Annual Report 2022-06-22
Principal Office Address Change 2022-06-22

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Sources: Kentucky Secretary of State