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Premise Health of Kentucky Medical, P.S.C.

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Company Details

Name: Premise Health of Kentucky Medical, P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 22 Oct 2021 (4 years ago)
Organization Date: 22 Oct 2021 (4 years ago)
Last Annual Report: 14 Apr 2025 (3 months ago)
Organization Number: 1173955
Industry: Health Services
Number of Employees: Large (100+)
Principal Office: 5500 Maryland Way Ste 120, Brentwood, TN 37027
Place of Formation: KENTUCKY
Authorized Shares: 100

Incorporator

Name Role
Jonathan Leizman Incorporator

Registered Agent

Name Role
CORPORATION SERVICE COMPANY Registered Agent

Shareholder

Name Role
Jonathan Leizman Shareholder

President

Name Role
Jonathan Leizman, M.D. President

Secretary

Name Role
William D. Wright Secretary

Director

Name Role
Jonathan Leizman, M.D. Director

Treasurer

Name Role
Jonathan Leizman, M.D. Treasurer

National Provider Identifier

NPI Number:
1588447627
Certification Date:
2023-08-14

Authorized Person:

Name:
WILL WRIGHT
Role:
LEGAL COUNSEL
Phone:

Taxonomy:

Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Assumed Names

Name Status Expiration Date
LIVINGWELL HEALTH CLINIC Active 2028-07-10
HENKEL HEALTHCARE CENTER Active 2028-07-10
LIVE WELL AT CITI MEDICAL CLINIC Active 2028-06-28
SMUCKER LEXINGTON HEALTH CENTER Active 2028-06-27
NAPCK NURSE OFFICE Active 2028-06-27

Filings

Name File Date
Annual Report 2025-04-14
Annual Report 2024-04-25
Certificate of Assumed Name 2023-07-10
Certificate of Assumed Name 2023-07-10
Certificate of Assumed Name 2023-06-28

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Sources: Kentucky Secretary of State