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WALZ FAMILY MEDICINE, PSC

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Company Details

Name: WALZ FAMILY MEDICINE, PSC
Legal type: Kentucky Professional Services Corp
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 12 Aug 2019 (6 years ago)
Organization Date: 12 Aug 2019 (6 years ago)
Last Annual Report: 01 Apr 2024 (a year ago)
Owned By: Veteran Owned
Organization Number: 1067833
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 41101
City: Ashland, Summitt, Westwood
Primary County: Boyd County
Principal Office: 127 STONEY BROOKE DRIVE, ASHLAND, KY 41101
Place of Formation: KENTUCKY
Authorized Shares: 1

Registered Agent

Name Role
JOHN H. WALZ JR Registered Agent

President

Name Role
Jon Henry Walz President

Shareholder

Name Role
Jon Henry Walz Shareholder

Incorporator

Name Role
JOHN H. WALZ, JR. Incorporator

National Provider Identifier

NPI Number:
1245251271

Authorized Person:

Name:
DR. JON H. WALZ JR.
Role:
PHYSICIAN
Phone:

Taxonomy:

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

Contacts:

Fax:
6068339453

Filings

Name File Date
Annual Report 2024-04-01
Annual Report 2023-10-03
Annual Report 2022-05-22
Annual Report 2021-06-29
Annual Report 2020-09-12

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Sources: Kentucky Secretary of State