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Red Maple Pediatrics LLC

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Company Details

Name: Red Maple Pediatrics LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 21 Apr 2022 (3 years ago)
Organization Date: 21 Apr 2022 (3 years ago)
Last Annual Report: 24 Mar 2025 (2 months ago)
Managed By: Members
Organization Number: 1204016
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42103
City: Bowling Green
Primary County: Warren County
Principal Office: 178 Ridgewood Dr, Bowling Green, KY 42103
Place of Formation: KENTUCKY

Registered Agent

Name Role
Danielle Foster Registered Agent

Member

Name Role
Danielle Kennedy Foster Member

Organizer

Name Role
Steven Throneberry Organizer

National Provider Identifier

NPI Number:
1295461119
Certification Date:
2024-02-26

Authorized Person:

Name:
DANIELLE KENNEDY-FOSTER
Role:
MD
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
No
Selected Taxonomy:
261QR1300X - Rural Health Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2702166185

Filings

Name File Date
Annual Report 2025-03-24
Reinstatement Certificate of Existence 2024-12-26
Reinstatement 2024-12-26
Reinstatement Approval Letter Revenue 2024-12-26
Administrative Dissolution 2024-10-12

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Sources: Kentucky Secretary of State