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WELGEN ONE OF KENTUCKY LLC

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Company Details

Name: WELGEN ONE OF KENTUCKY LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 27 Apr 2022 (3 years ago)
Organization Date: 27 Apr 2022 (3 years ago)
Managed By: Members
Organization Number: 1205024
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40202
City: Louisville
Primary County: Jefferson County
Principal Office: 312 S 4TH ST STE 700, Louisville, KY 40202
Place of Formation: KENTUCKY

Registered Agent

Name Role
REPUBLIC REGISTERED AGENT LLC Registered Agent

National Provider Identifier

NPI Number:
1083347827
Certification Date:
2022-11-04

Authorized Person:

Name:
SHANIRA DELACRUZ
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
101Y00000X - Counselor
Is Primary:
No
Selected Taxonomy:
207KI0005X - Clinical & Laboratory Immunology (Allergy & Immunology) Physician
Is Primary:
No
Selected Taxonomy:
246YR1600X - Registered Record Administrator
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
Yes

Contacts:

Filings

Name File Date
Administrative Dissolution 2023-10-04
Registered Agent name/address change 2023-02-15
Registered Agent name/address change 2022-08-10

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Sources: Kentucky Secretary of State