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Paducah Dermatology Surgery Center PLLC

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Company Details

Name: Paducah Dermatology Surgery Center PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 14 Feb 2023 (2 years ago)
Organization Date: 14 Feb 2023 (2 years ago)
Last Annual Report: 02 Mar 2024 (a year ago)
Managed By: Members
Organization Number: 1260210
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42001
City: Paducah
Primary County: McCracken County
Principal Office: 127 Alben Barkley Dr Ste A, Paducah, KY 42001
Place of Formation: KENTUCKY

Registered Agent

Name Role
UNITED STATES CORPORATION AGENTS, INC. Registered Agent

Member

Name Role
Joseph Allen Blackmon Member

National Provider Identifier

NPI Number:
1689401465
Certification Date:
2025-05-05

Authorized Person:

Name:
DR. JOSEPH ALLEN BLACKMON
Role:
PHYSICIAN/MEDICAL DIRECTOR/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2704448479

Filings

Name File Date
Articles of Correction 2024-10-02
Annual Report 2024-03-02

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Sources: Kentucky Secretary of State