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Kentucky Mountain Interventional and Infusion Therapies LLC LIMITED LIABILITY PARTNERSHIP

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Company Details

Name: Kentucky Mountain Interventional and Infusion Therapies LLC LIMITED LIABILITY PARTNERSHIP
Legal type: Kentucky RUPA Limited Liability Partnership
Status: Inactive
Standing: Bad
File Date: 04 Jun 2020 (5 years ago)
Organization Date: 04 Jun 2020 (5 years ago)
Organization Number: 1099200
ZIP code: 41501
City: Pikeville, Broad Bottom, Gulnare, Mccombs, Meta, Ne...
Primary County: Pike County
Principal Office: 101 Hibbard St Ste 200, Pikeville, KY 41501
Place of Formation: KENTUCKY

Registered Agent

Name Role
Bryce May Registered Agent

General Partner

Name Role
Brandy Meadows General Partner

National Provider Identifier

NPI Number:
1679197529
Certification Date:
2020-06-05

Authorized Person:

Name:
BRANDY MEADOWS
Role:
MEMBER, NURSE PRACTITIONER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
208VP0014X - Interventional Pain Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6064320405

Filings

Name File Date
Administrative Dissolution 2021-10-19

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Sources: Kentucky Secretary of State