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OWL EMERGENCY PHYSICIANS, LLC

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Company Details

Name: OWL EMERGENCY PHYSICIANS, LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 23 Jun 2014 (11 years ago)
Organization Date: 23 Jun 2014 (11 years ago)
Last Annual Report: 28 Jun 2024 (a year ago)
Managed By: Managers
Organization Number: 0890455
Industry: Health Services
Number of Employees: Medium (20-99)
Principal Office: 20 BURTON HILLS BOULEVARD, SUITE 500, NASHVILLE, TN 37215
Place of Formation: KENTUCKY

Registered Agent

Name Role
CORPORATION SERVICE COMPANY Registered Agent

Member

Name Role
Kentucky Emergency-I Services P.S.C. Member

Organizer

Name Role
JOSEPH H. GATEWOOD Organizer

Manager

Name Role
Andrew Mulvey MD Manager

National Provider Identifier

NPI Number:
1962817122
Certification Date:
2021-01-13

Authorized Person:

Name:
KATHLEEN 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:

Filings

Name File Date
Principal Office Address Change 2024-06-28
Annual Report 2024-06-28
Annual Report 2023-06-07
Annual Report 2022-06-29
Principal Office Address Change 2022-06-29

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Sources: Kentucky Secretary of State