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MANDY CRAWFORD FAMILY PRACTICE, PLC

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Company Details

Name: MANDY CRAWFORD FAMILY PRACTICE, PLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 01 Jul 2014 (11 years ago)
Organization Date: 01 Jul 2014 (11 years ago)
Last Annual Report: 14 Jul 2016 (9 years ago)
Managed By: Members
Organization Number: 0891108
ZIP code: 42301
City: Owensboro, Saint Joseph, St Joseph, Stanley
Primary County: Daviess County
Principal Office: 2315 MAYFAIR DRIVE, SUITE 16, OWENSBORO, KY 42301
Place of Formation: KENTUCKY

Registered Agent

Name Role
AMANDA CRAWFORD Registered Agent

Manager

Name Role
Amanda Rae Crawford Manager

Organizer

Name Role
AMANDA CRAWFORD Organizer

National Provider Identifier

NPI Number:
1518374024

Authorized Person:

Name:
AMANDA CRAWFORD
Role:
SOLE MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
2704784965

Filings

Name File Date
Administrative Dissolution Return 2017-10-30
Administrative Dissolution 2017-10-09
Sixty Day Notice Return 2017-08-29
Annual Report 2016-07-14
Annual Report 2015-02-25

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Sources: Kentucky Secretary of State