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Ralph M. Green, Medical, PLLC

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Company Details

Name: Ralph M. Green, Medical, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 12 Jan 2018 (7 years ago)
Organization Date: 12 Jan 2018 (7 years ago)
Managed By: Members
Organization Number: 1007603
ZIP code: 40213
City: Louisville, Audubon Park, Lynnview, Poplar Hills
Primary County: Jefferson County
Principal Office: 3809-B Poplar Level Road, Louisville, KY 40213
Place of Formation: KENTUCKY

Registered Agent

Name Role
Ralph Green Registered Agent

Organizer

Name Role
Ralph Green Organizer

National Provider Identifier

NPI Number:
1023510518

Authorized Person:

Name:
LEWIS C. JONES
Role:
PROVIDER
Phone:

Taxonomy:

Selected Taxonomy:
1223S0112X - Oral and Maxillofacial Surgery (Dentist)
Is Primary:
Yes

Contacts:

Fax:
5024594343

Filings

Name File Date
Administrative Dissolution 2019-10-16

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Sources: Kentucky Secretary of State