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LiveWell Gastroenterology, PLLC

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Company Details

Name: LiveWell Gastroenterology, PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 02 Dec 2021 (4 years ago)
Organization Date: 02 Dec 2021 (4 years ago)
Last Annual Report: 28 Feb 2025 (3 months ago)
Managed By: Members
Organization Number: 1179848
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 41042
City: Florence
Primary County: Boone County
Principal Office: 7659 Mall Rd, Suite #1011, Florence, KY 41042
Place of Formation: KENTUCKY

Registered Agent

Name Role
Dustin DiChiara Registered Agent

Member

Name Role
Amy J DiChiara Member

Organizer

Name Role
Amy J DiChiara Organizer

National Provider Identifier

NPI Number:
1861151268
Certification Date:
2021-12-13

Authorized Person:

Name:
DR. AMY J DICHIARA
Role:
MANAGING MEMBER/ PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QM2500X - Medical Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8595455074

Filings

Name File Date
Annual Report 2025-02-28
Annual Report 2024-03-28
Reinstatement 2023-02-19
Principal Office Address Change 2023-02-19
Reinstatement Approval Letter Revenue 2023-02-19

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Sources: Kentucky Secretary of State