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VITAE HEALTH CLINICAL SERVICES KENTUCKY, LLC

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Company Details

Name: VITAE HEALTH CLINICAL SERVICES KENTUCKY, LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 05 Apr 2023 (2 years ago)
Organization Date: 05 Apr 2023 (2 years ago)
Managed By: Members
Organization Number: 1272850
Principal Office: 303 E WACKER STREET, SUITE 2102, CHICAGO, IL 60601
Place of Formation: KENTUCKY

Registered Agent

Name Role
CORPORATION SERVICE COMPANY Registered Agent

Organizer

Name Role
AMISH PATEL Organizer

National Provider Identifier

NPI Number:
1275219602
Certification Date:
2025-03-25

Authorized Person:

Name:
YITZCHAK FREUND
Role:
CHIEF OPERATING OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
104100000X - Social Worker
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
3123129575
Fax:
2703655064

Filings

Name File Date
Administrative Dissolution 2024-10-12
Articles of Organization (LLC) 2023-04-05

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Sources: Kentucky Secretary of State