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Kentucky Addiction Centers West 2 LLC

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Company Details

Name: Kentucky Addiction Centers West 2 LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 22 Mar 2021 (4 years ago)
Organization Date: 22 Mar 2021 (4 years ago)
Last Annual Report: 12 May 2024 (a year ago)
Managed By: Members
Organization Number: 1140300
Industry: Miscellaneous Services
Number of Employees: Small (0-19)
ZIP code: 42001
City: Paducah
Primary County: McCracken County
Principal Office: 148 Stuart Nelson Park Rd, Paducah, KY 42001
Place of Formation: KENTUCKY

Registered Agent

Name Role
Anna Whites Registered Agent

Organizer

Name Role
Trouper Krueger Organizer

National Provider Identifier

NPI Number:
1902482383
Certification Date:
2021-03-24

Authorized Person:

Name:
TROUPER KRUEGER
Role:
CSO-HHR
Phone:

Taxonomy:

Selected Taxonomy:
101YA0400X - Addiction (Substance Use Disorder) Counselor
Is Primary:
No
Selected Taxonomy:
207QA0401X - Addiction Medicine (Family Medicine) Physician
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Filings

Name File Date
Annual Report 2024-05-12
Annual Report 2023-01-17
Annual Report 2022-03-07
Annual Report 2021-06-30

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Sources: Kentucky Secretary of State