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DEBORAH ANN BALLARD, MD INTEGRATIVE MEDICINE, PLLC

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Company Details

Name: DEBORAH ANN BALLARD, MD INTEGRATIVE MEDICINE, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 16 Jul 2016 (9 years ago)
Organization Date: 30 Sep 2016 (9 years ago)
Last Annual Report: 01 Sep 2018 (7 years ago)
Managed By: Members
Organization Number: 0957710
ZIP code: 40207
City: Louisville, Bellewood, Brownsboro Village, Brwnsboro...
Primary County: Jefferson County
Principal Office: 3945 NANZ AVENUE, Louisville, KY 40207
Place of Formation: KENTUCKY

Member

Name Role
Deborah Ann Ballard MD Member

Organizer

Name Role
Deborah Ann Ballard Organizer
Deborah Ann Ballard Organizer
Deborah Ann Ballard Organizer

Registered Agent

Name Role
Deborah Ann Ballard Registered Agent

National Provider Identifier

NPI Number:
1134652639

Authorized Person:

Name:
DEBORAH ANN BALLARD
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Former Company Names

Name Action
DEBORAH ANN BALLARD, MD INTEGRATED MEDICINE, PLLC Old Name
Holiwell Health PLLC Old Name

Filings

Name File Date
Administrative Dissolution 2019-10-16
Administrative Dissolution 2019-10-16
Annual Report 2018-09-01
Annual Report 2017-07-18
Principal Office Address Change 2017-05-22

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Sources: Kentucky Secretary of State