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Kelly Rae Smith, DNP, APRN, LLC

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Company Details

Name: Kelly Rae Smith, DNP, APRN, LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 02 Oct 2020 (5 years ago)
Organization Date: 02 Oct 2020 (5 years ago)
Last Annual Report: 07 Jun 2024 (a year ago)
Managed By: Members
Organization Number: 1115304
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40059
City: Prospect, River Bluff
Primary County: Jefferson County
Principal Office: 13402 Creekview Rd, River Bluff, KY 40059
Place of Formation: KENTUCKY

Registered Agent

Name Role
Kelly R Smith Registered Agent
Kelly Rae Smith Registered Agent

Organizer

Name Role
Kelly Rae Smith Organizer

National Provider Identifier

NPI Number:
1902407414
Certification Date:
2024-05-09

Authorized Person:

Name:
KELLY RAE SMITH
Role:
NP/OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
8334495152

Filings

Name File Date
Principal Office Address Change 2024-06-08
Annual Report 2024-06-07
Reinstatement Certificate of Existence 2023-11-16
Reinstatement 2023-11-16
Registered Agent name/address change 2023-11-16

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Sources: Kentucky Secretary of State