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Kentucky Medical Center, PSC

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Company Details

Name: Kentucky Medical Center, PSC
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 15 Sep 2016 (9 years ago)
Organization Date: 15 Sep 2016 (9 years ago)
Organization Number: 0962950
ZIP code: 40505
City: Lexington
Primary County: Fayette County
Principal Office: 208 LEGENDS LN., STE 130, LEXINGTON, KY 40505
Place of Formation: KENTUCKY
Authorized Shares: 100

Registered Agent

Name Role
Blaine Lisner Registered Agent

Shareholder

Name Role
Blaine Lisner Shareholder

Incorporator

Name Role
Blaine Lisner Incorporator

National Provider Identifier

NPI Number:
1558811323

Authorized Person:

Name:
DR. BLAINE LISNER
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
2084N0400X - Neurology Physician
Is Primary:
Yes

Contacts:

Filings

Name File Date
Administrative Dissolution 2017-10-09
Principal Office Address Change 2016-09-16

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Sources: Kentucky Secretary of State