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Paducah Plastic and Reconstructive Surgery, PLLC

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Company Details

Name: Paducah Plastic and Reconstructive Surgery, PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 23 Nov 2020 (5 years ago)
Organization Date: 23 Nov 2020 (5 years ago)
Last Annual Report: 06 May 2024 (a year ago)
Managed By: Members
Organization Number: 1121852
ZIP code: 42003
City: Paducah
Primary County: McCracken County
Principal Office: 2605 Kentucky Ave #100, Paducah, KY 42003
Place of Formation: KENTUCKY

Registered Agent

Name Role
Daniel Emerson Verbist Registered Agent

Organizer

Name Role
Daniel Emerson Verbist Organizer

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
F5Q6BSKWF645
UEI Expiration Date:
2025-10-21

Business Information

Division Name:
PADUCAH PLASTIC AND RECONSTRUCTIVE SURGERY
Activation Date:
2024-10-23
Initial Registration Date:
2023-06-06

National Provider Identifier

NPI Number:
1962070334
Certification Date:
2022-04-06

Authorized Person:

Name:
DR. DANIEL E VERBIST
Role:
MEMBER/MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
2086S0122X - Plastic and Reconstructive Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
2709331047

Filings

Name File Date
Annual Report 2024-05-06
Annual Report 2023-03-27
Registered Agent name/address change 2023-03-27
Annual Report 2022-04-20
Annual Report 2021-07-21

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Sources: Kentucky Secretary of State