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Carol B. Peddicord MD, PLLC

Company Details

Name: Carol B. Peddicord MD, PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 05 Feb 2015 (10 years ago)
Organization Date: 05 Feb 2015 (10 years ago)
Last Annual Report: 08 Jan 2024 (a year ago)
Managed By: Members
Organization Number: 0909687
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42602
City: Albany, Aaron, Browns Crossroads, Browns Xroads,...
Primary County: Clinton County
Principal Office: 250 BURKESVILLE ROAD, ALBANY, KY 42602
Place of Formation: KENTUCKY

Registered Agent

Name Role
Carol Bertram Peddicord Registered Agent

Member

Name Role
CAROL B PEDDICORD Member

Organizer

Name Role
Carol Bertram Peddicord Organizer

National Provider Identifier

NPI Number:
1760874713
Certification Date:
2022-09-01

Authorized Person:

Name:
CAROL PEDDICORD
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6063870310

Filings

Name File Date
Reinstatement Certificate of Existence 2024-01-08
Reinstatement Approval Letter Revenue 2024-01-08
Reinstatement 2024-01-08
Administrative Dissolution 2022-10-04
Principal Office Address Change 2021-02-17

Paycheck Protection Program

Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
51475
Current Approval Amount:
52934.62
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
53230.17

Sources: Kentucky Secretary of State