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Wild Health URI Clinic LLC

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Company Details

Name: Wild Health URI Clinic LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 30 Nov 2020 (5 years ago)
Organization Date: 30 Nov 2020 (5 years ago)
Last Annual Report: 20 Jul 2021 (4 years ago)
Managed By: Managers
Organization Number: 1122494
ZIP code: 40503
City: Lexington
Primary County: Fayette County
Principal Office: 535 Wellington Way Ste 330, Lexington, KY 40503
Place of Formation: KENTUCKY

Registered Agent

Name Role
SUNDOC FILINGS INCORPORATED Registered Agent

Organizer

Name Role
Sapphire McFarland Organizer

Member

Name Role
Wild Health, Inc. Member

National Provider Identifier

NPI Number:
1215532759
Certification Date:
2020-12-02

Authorized Person:

Name:
MR. PHILLIP ANDREW WILLIFORD
Role:
CHIEF MEDICAL ADMINISTRATIVE OFFICE
Phone:

Taxonomy:

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

Contacts:

Fax:
8594390399

Filings

Name File Date
Dissolution 2021-08-03
Annual Report 2021-07-20

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Sources: Kentucky Secretary of State