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Wild Health at Proof, LLC

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Company Details

Name: Wild Health at Proof, LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 17 Jan 2019 (6 years ago)
Organization Date: 17 Jan 2019 (6 years ago)
Managed By: Managers
Organization Number: 1045275
ZIP code: 40503
City: Lexington
Primary County: Fayette County
Principal Office: 256 Shady Lane, Lexington, KY 40503
Place of Formation: KENTUCKY

Registered Agent

Name Role
Matthew Dawson Registered Agent

Organizer

Name Role
Matthew Dawson Organizer

National Provider Identifier

NPI Number:
1588129035

Authorized Person:

Name:
DR. MATTHEW DAWSON
Role:
CEO
Phone:

Taxonomy:

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

Contacts:

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Sources: Kentucky Secretary of State