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JASON N. STAMPER DO, PLLC

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Company Details

Name: JASON N. STAMPER DO, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 09 Apr 2021 (4 years ago)
Organization Date: 09 Apr 2021 (4 years ago)
Last Annual Report: 02 Oct 2022 (3 years ago)
Managed By: Managers
Organization Number: 1143963
ZIP code: 41502
City: Pikeville
Primary County: Pike County
Principal Office: PO BOX 1559, PIKEVILLE, KY 41502
Place of Formation: KENTUCKY

Registered Agent

Name Role
DR. JASON NOAH STAMPER Registered Agent

Manager

Name Role
Jason Noah Stamper Manager

Organizer

Name Role
JASON NOAH STAMPER Organizer

National Provider Identifier

NPI Number:
1255908802
Certification Date:
2023-03-21

Authorized Person:

Name:
JASON NOAH STAMPER
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
6062533040

Filings

Name File Date
Administrative Dissolution 2023-10-04
Annual Report 2022-10-02
Articles of Organization (LLC) 2021-04-09

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Sources: Kentucky Secretary of State