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Kentucky Vascular Specialists, PLLC

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Company Details

Name: Kentucky Vascular Specialists, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 02 Aug 2021 (4 years ago)
Organization Date: 02 Aug 2021 (4 years ago)
Last Annual Report: 25 Jul 2022 (3 years ago)
Managed By: Managers
Organization Number: 1161974
ZIP code: 40220
City: Louisville, Cambridge, Houston Acres, Hurstbourne Ac...
Primary County: Jefferson County
Principal Office: 2000 S Hurstbourne Pkwy, Louisville, KY 40220
Place of Formation: KENTUCKY

Registered Agent

Name Role
Mark Rabinovich Registered Agent

Manager

Name Role
Jonathan Andrew Prince Manager
Mark Rabinovich Manager

Organizer

Name Role
Mark Rabinovich Organizer

National Provider Identifier

NPI Number:
1295405835
Certification Date:
2023-02-28

Authorized Person:

Name:
MARK RABINOVICH
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
2471V0106X - Vascular-Interventional Technology Radiologic Technologist
Is Primary:
No
Selected Taxonomy:
2085R0204X - Vascular & Interventional Radiology Physician
Is Primary:
Yes

Contacts:

Fax:
5027857493

Assumed Names

Name Status Expiration Date
MODERN VASCULAR Active 2027-06-15

Filings

Name File Date
Administrative Dissolution 2023-10-04
Annual Report 2022-07-25
Certificate of Assumed Name 2022-06-15

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Sources: Kentucky Secretary of State