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CAPITOL PAIN OF KENTUCKY, PLLC

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Company Details

Name: CAPITOL PAIN OF KENTUCKY, PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 05 Jul 2018 (7 years ago)
Organization Date: 05 Jul 2018 (7 years ago)
Last Annual Report: 25 Mar 2024 (a year ago)
Managed By: Members
Organization Number: 1025971
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40258
City: Louisville, Pleasure Rdge, Pleasure Ridge Park
Primary County: Jefferson County
Principal Office: 6801 Dixie Hwy, SUITE 135, LOUISVILLE, KY 40258
Place of Formation: KENTUCKY

Registered Agent

Name Role
CORPORATION SERVICE COMPANY Registered Agent

Member

Name Role
Sandford Matthew Schocket Member

Organizer

Name Role
ROY J. LARSON Organizer

National Provider Identifier

NPI Number:
1053807206

Authorized Person:

Name:
PAT HARRELL
Role:
REVENUE CYCLE
Phone:

Taxonomy:

Selected Taxonomy:
207LP2900X - Pain Medicine (Anesthesiology) Physician
Is Primary:
Yes

Contacts:

Filings

Name File Date
Annual Report 2024-03-25
Principal Office Address Change 2024-03-25
Annual Report 2023-03-25
Annual Report 2022-03-08
Annual Report 2021-04-19

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Sources: Kentucky Secretary of State