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URGENT CARE SERVICES SOUTHEAST, P.S.C.

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Company Details

Name: URGENT CARE SERVICES SOUTHEAST, P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 12 Jul 2023 (2 years ago)
Organization Date: 12 Jul 2023 (2 years ago)
Last Annual Report: 05 Jun 2024 (a year ago)
Organization Number: 1293971
Industry: Health Services
Number of Employees: Small (0-19)
Principal Office: 265 Brookview Centre Way Ste 203, Knoxville, TN 37919
Place of Formation: KENTUCKY
Authorized Shares: 1000

Shareholder

Name Role
Gina Wilkins Shareholder

Incorporator

Name Role
GINA C WILKINS Incorporator

Registered Agent

Name Role
CORPORATION SERVICE COMPANY Registered Agent

Assistant Secretary

Name Role
John R Stair Assistant Secretary

Officer

Name Role
John Barrack Officer
Lara Owens Officer

President

Name Role
Gina Wilkins President

Director

Name Role
Gina Wilkins Director

National Provider Identifier

NPI Number:
1427831759
Certification Date:
2024-05-30

Authorized Person:

Name:
KAREN MELISSA TIBEDO
Role:
NATIONAL PE DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
363AM0700X - Medical Physician Assistant
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207PE0004X - Emergency Medical Services (Emergency Medicine) Physician
Is Primary:
No
Selected Taxonomy:
261QU0200X - Urgent Care Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Name File Date
Annual Report 2024-06-05
Principal Office Address Change 2023-07-25
Articles of Incorporation (Professional) 2023-07-12

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Sources: Kentucky Secretary of State