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Physician Management Services of Western Kentucky, LLC

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Company Details

Name: Physician Management Services of Western Kentucky, LLC
Legal type: Foreign Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 09 Aug 2017 (8 years ago)
Organization Date: 07 Aug 2017 (8 years ago)
Authority Date: 09 Aug 2017 (8 years ago)
Last Annual Report: 04 Jun 2024 (a year ago)
Branch of: Physician Management Services of Western Kentucky, LLC, FLORIDA (Company Number L17000168360)
Organization Number: 0993393
Industry: Health Services
Number of Employees: Small (0-19)
Principal Office: 3113 Lawton Rd Ste 250, Orlando, FL 32803
Place of Formation: FLORIDA

Manager

Name Role
Casey DeLoach Manager
Vaxcare, LLC Manager
Brett Kenefick Manager

Authorized Rep

Name Role
Brett Kenefick Authorized Rep

Registered Agent

Name Role
CORPORATION SERVICE COMPANY Registered Agent

National Provider Identifier

NPI Number:
1730604075
Certification Date:
2021-04-27

Authorized Person:

Name:
BRETT KENEFICK
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
8888298550

Filings

Name File Date
Annual Report 2024-06-04
Registered Agent name/address change 2023-08-29
Annual Report 2023-03-24
Annual Report 2022-03-17
Annual Report 2021-07-13

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Sources: Kentucky Secretary of State