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Danville Pediatrics Medical Group, PLLC

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Company Details

Name: Danville Pediatrics Medical Group, PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 02 Nov 2021 (4 years ago)
Organization Date: 02 Nov 2021 (4 years ago)
Last Annual Report: 26 Feb 2025 (5 months ago)
Managed By: Members
Organization Number: 1175537
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 40422
City: Danville
Primary County: Boyle County
Principal Office: 303 S FOURTH STREET, SUITE 100, SUITE 100, DANVILLE, KY 40422
Place of Formation: KENTUCKY

Member

Name Role
JOSHUA SCOTT WIGLESWORTH Member
MIRANDA LOU MUNDAY Member
MATTHEW ALAN GRAVES Member
JEREMY TODD DICKINSON Member
DOUGLAS A STEIN Member

Registered Agent

Name Role
Joshua Wiglesworth MD Registered Agent
JOSHUA WIGLESWORTH MD Registered Agent

Organizer

Name Role
Valerie T Mayer Organizer
Joshua Wiglesworth MD Organizer

National Provider Identifier

NPI Number:
1770248775
Certification Date:
2021-11-17

Authorized Person:

Name:
JANET STRINGER
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261QR1300X - Rural Health Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8592361862
Fax:
5025983184

Assumed Names

Name Status Expiration Date
LAWRENCEBURG PEDIATRICS Active 2026-11-15

Filings

Name File Date
Annual Report 2025-02-26
Principal Office Address Change 2024-05-15
Annual Report 2024-05-15
Annual Report 2023-04-26
Annual Report 2022-04-21

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Sources: Kentucky Secretary of State