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Balanced Life Primary Care, LLC

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Company Details

Name: Balanced Life Primary Care, LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 03 Feb 2015 (10 years ago)
Organization Date: 03 Feb 2015 (10 years ago)
Last Annual Report: 19 Aug 2016 (9 years ago)
Managed By: Members
Organization Number: 0909401
ZIP code: 42303
City: Owensboro
Primary County: Daviess County
Principal Office: 3240 Mount Moriah Avenue, Owensboro, KY 42303
Place of Formation: KENTUCKY

Organizer

Name Role
Randall E King Organizer

Registered Agent

Name Role
Randall E King Registered Agent

Member

Name Role
RANDALL E KING Member

National Provider Identifier

NPI Number:
1639561806

Authorized Person:

Name:
DR. RANDALL E KING
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
2706866140

Filings

Name File Date
Administrative Dissolution 2017-10-09
Sixty Day Notice Return 2017-09-13
Annual Report 2016-08-19

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Sources: Kentucky Secretary of State