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Kentucky Family Medicine, LLC

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Company Details

Name: Kentucky Family Medicine, LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 12 Apr 2020 (5 years ago)
Organization Date: 12 Apr 2020 (5 years ago)
Last Annual Report: 25 Jun 2024 (a year ago)
Owned By: Veteran Owned
Managed By: Members
Organization Number: 1093274
ZIP code: 40701
City: Corbin, Keavy, Woodbine
Primary County: Whitley County
Principal Office: 706 Maynor St, Corbin, KY 40701
Place of Formation: KENTUCKY

Registered Agent

Name Role
Christopher Stokes Registered Agent
CATHERINE P STOKES Registered Agent

Organizer

Name Role
Christopher Stokes Organizer

U.S. Small Business Administration Profile

Phone Number:
E-mail Address:
Fax Number:
800-880-2213
Contact Person:
CATHERINE STOKES
Ownership and Self-Certifications:
Self-Certified Small Disadvantaged Business, Service-Disabled Veteran, Veteran, Woman Owned
User ID:
P2624398

Unique Entity ID

Unique Entity ID:
HWCPM78FEFY1
CAGE Code:
91TK1
UEI Expiration Date:
2026-03-21

Business Information

Division Name:
KENTUCKY FAMILY MEDICINE
Division Number:
KENTUCKY F
Activation Date:
2025-03-25
Initial Registration Date:
2021-06-04

Commercial and government entity program

CAGE number:
91TK1
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2025-03-25
SAM Expiration:
2026-03-21

Contact Information

POC:
CATHERINE P. STOKES
Corporate URL:
www.kyfam.com

National Provider Identifier

NPI Number:
1629694005
Certification Date:
2020-07-16

Authorized Person:

Name:
MRS. CATHERINE P STOKES
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QR1300X - Rural Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Filings

Name File Date
Annual Report 2024-06-25
Registered Agent name/address change 2024-06-25
Annual Report 2023-03-22
Annual Report 2022-09-07
Amendment 2021-09-29

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Sources: Kentucky Secretary of State