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HUMAN PERFORMANCE MEDICAL-KENTUCKY, PSC

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Company Details

Name: HUMAN PERFORMANCE MEDICAL-KENTUCKY, PSC
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 13 Jun 2023 (2 years ago)
Organization Date: 13 Jun 2023 (2 years ago)
Organization Number: 1287671
ZIP code: 42003
City: Paducah
Primary County: McCracken County
Principal Office: 3038 LONE OAK RD., STE 4 #16, PADUCAH, KY 42003
Place of Formation: KENTUCKY
Authorized Shares: 1000

Registered Agent

Name Role
DR. BEN LERNER Registered Agent

Incorporator

Name Role
DARREN S SKYLES Incorporator

National Provider Identifier

NPI Number:
1609558956
Certification Date:
2023-08-05

Authorized Person:

Name:
JOSEPH VERNA
Role:
VICE PRESIDENT OPERATIONS
Phone:

Taxonomy:

Selected Taxonomy:
208VP0014X - Interventional Pain Medicine Physician
Is Primary:
Yes

Contacts:

Filings

Name File Date
Administrative Dissolution 2024-10-12
Articles of Correction 2023-06-22
Registered Agent name/address change 2023-06-20
Principal Office Address Change 2023-06-20
Articles of Incorporation (Professional) 2023-06-13

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Sources: Kentucky Secretary of State