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IMAC MEDICAL OF KENTUCKY, PSC

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Company Details

Name: IMAC MEDICAL OF KENTUCKY, PSC
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 13 Jan 2022 (4 years ago)
Organization Date: 13 Jan 2022 (4 years ago)
Last Annual Report: 22 May 2023 (2 years ago)
Organization Number: 1185709
Principal Office: 3401 Mallory Lane, Suite 100, Franklin, TN 37067
Place of Formation: KENTUCKY
Authorized Shares: 100

Initial Director

Name Role
Thomas Whealton Initial Director

Director

Name Role
Thomas Whealton Director

Shareholder

Name Role
Thomas Whealton Shareholder

Registered Agent

Name Role
IMAC HOLDINGS, INC. Registered Agent

Incorporator

Name Role
THOMAS WHEALTON D.O. Incorporator

National Provider Identifier

NPI Number:
1134850597
Certification Date:
2022-06-17

Authorized Person:

Name:
BAILEE BOYETT
Role:
CREDENTIALING SPECIALIST
Phone:

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Fax:
6156377334
Fax:
5022649500

Filings

Name File Date
Administrative Dissolution 2024-10-12
Annual Report 2023-05-22
Registered Agent name/address change 2023-05-22
Principal Office Address Change 2023-05-22
Annual Report 2022-05-31

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Sources: Kentucky Secretary of State