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South Shore Family Medical Clinic, L.L.C.

Company Details

Name: South Shore Family Medical Clinic, L.L.C.
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 17 Jul 2018 (7 years ago)
Organization Date: 17 Jul 2018 (7 years ago)
Managed By: Managers
Organization Number: 1027126
ZIP code: 41175
City: South Shore
Primary County: Greenup County
Principal Office: 74 Biggs Ln, South Shore, KY 41175
Place of Formation: KENTUCKY

Registered Agent

Name Role
Tyeesha S Webb Registered Agent

Organizer

Name Role
Tyeesha Webb Organizer

National Provider Identifier

NPI Number:
1497232722

Authorized Person:

Name:
JAMES LEE RYAN
Role:
FNP
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Filings

Name File Date
Administrative Dissolution Return 2019-12-11
Sixty Day Notice Return 2019-10-25
Administrative Dissolution 2019-10-16
Annual Report Return 2019-07-19

Sources: Kentucky Secretary of State