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Corner Pediatrics, PSC

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Company Details

Name: Corner Pediatrics, PSC
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 13 Nov 2021 (4 years ago)
Organization Date: 13 Nov 2021 (4 years ago)
Last Annual Report: 26 Mar 2023 (2 years ago)
Organization Number: 1177174
ZIP code: 40503
City: Lexington
Primary County: Fayette County
Principal Office: 2505 Larkin Rd Ste 103, Lexington, KY 40503
Place of Formation: KENTUCKY
Authorized Shares: 1000

Shareholder

Name Role
Sandra Green Shareholder
Sandra Green Shareholder

President

Name Role
Sandra Green President

Treasurer

Name Role
Stephen Green Treasurer

Director

Name Role
Sandra Green Director
Stephen Green Director

Registered Agent

Name Role
Stephen Green Registered Agent

Incorporator

Name Role
Sandra Green Incorporator

National Provider Identifier

NPI Number:
1184382525
Certification Date:
2021-12-02

Authorized Person:

Name:
DR. SANDRA GREEN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
Yes

Contacts:

Fax:
8596001998

Filings

Name File Date
Dissolution 2024-01-08
Annual Report 2023-03-26
Annual Report 2022-05-09

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Sources: Kentucky Secretary of State