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FEP OF KENTUCKY LLC

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Company Details

Name: FEP OF KENTUCKY LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 25 Jul 2023 (2 years ago)
Organization Date: 25 Jul 2023 (2 years ago)
Last Annual Report: 26 Mar 2024 (a year ago)
Managed By: Members
Organization Number: 1296729
Industry: Health Services
Number of Employees: Small (0-19)
Principal Office: 22029 N 51st Street, Phoenix, AZ 85054
Place of Formation: KENTUCKY

Registered Agent

Name Role
CORPORATION SERVICE COMPANY Registered Agent

Organizer

Name Role
Randy Anderson Organizer

National Provider Identifier

NPI Number:
1770266553
Certification Date:
2023-11-30

Authorized Person:

Name:
DR. MARTIN FEDKO
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207P00000X - Emergency Medicine Physician
Is Primary:
Yes

Contacts:

Filings

Name File Date
Annual Report 2024-03-26
Articles of Organization 2023-07-25

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Sources: Kentucky Secretary of State