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BLUEGRASS DRYP WOUND CARE, LLC

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Company Details

Name: BLUEGRASS DRYP WOUND CARE, LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 10 Jul 2023 (2 years ago)
Organization Date: 10 Jul 2023 (2 years ago)
Last Annual Report: 25 Nov 2024 (6 months ago)
Managed By: Managers
Organization Number: 1293399
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 41101
City: Ashland, Summitt, Westwood
Primary County: Boyd County
Principal Office: 330 21St Street, Ashland, KY 41101
Place of Formation: KENTUCKY

Registered Agent

Name Role
Kenneth Chamblee Registered Agent

Organizer

Name Role
Shelly Marie Miller Organizer

Manager

Name Role
Kenneth Ray Chamblee Manager

National Provider Identifier

NPI Number:
1659150316
Certification Date:
2024-03-12

Authorized Person:

Name:
SHELLY MARIE MILLER
Role:
CNO
Phone:

Taxonomy:

Selected Taxonomy:
363LG0600X - Gerontology Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
163WW0000X - Wound Care Registered Nurse
Is Primary:
No
Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
2083P0011X - Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Is Primary:
Yes

Contacts:

Fax:
6063249101

Assumed Names

Name Status Expiration Date
BLUEGRASS WOUND CARE & HYPERBARICS Active 2028-11-15

Filings

Name File Date
Annual Report Amendment 2024-11-25
Registered Agent name/address change 2024-11-25
Annual Report 2024-06-18
Certificate of Assumed Name 2023-11-15
Articles of Organization 2023-07-10

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Sources: Kentucky Secretary of State