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VILLAGEMD KENTUCKY, PSC

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Company Details

Name: VILLAGEMD KENTUCKY, PSC
Legal type: Kentucky Professional Services Corp
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 19 May 2017 (8 years ago)
Organization Date: 19 May 2017 (8 years ago)
Last Annual Report: 18 Jun 2024 (a year ago)
Organization Number: 0986103
Industry: Health Services
Number of Employees: Small (0-19)
Principal Office: 1 Diamond Hill Road, Berkeley Heights, NJ 07922
Place of Formation: KENTUCKY
Authorized Shares: 1000

President

Name Role
CLIVE FIELDS MD President

Director

Name Role
CLIVE FIELDS MD Director

Shareholder

Name Role
CLIVE FIELDS MD Shareholder

Registered Agent

Name Role
CORPORATION SERVICE COMPANY Registered Agent

Incorporator

Name Role
CLIVE K. FIELDS M.D. Incorporator

National Provider Identifier

NPI Number:
1104348622

Authorized Person:

Name:
WENDY LEE RUBAS
Role:
GENERAL COUNSEL
Phone:

Taxonomy:

Selected Taxonomy:
207RE0101X - Endocrinology, Diabetes & Metabolism Physician
Is Primary:
No
Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2707598368

Filings

Name File Date
Principal Office Address Change 2024-06-18
Annual Report 2024-06-18
Annual Report 2023-06-08
Principal Office Address Change 2023-06-08
Principal Office Address Change 2022-06-16

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Sources: Kentucky Secretary of State