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KENTUCKY FAMILY CLINIC Inc.

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Company Details

Name: KENTUCKY FAMILY CLINIC Inc.
Legal type: Kentucky Corporation
Status: Active
File Date: 31 Jan 2025 (7 months ago)
Organization Date: 31 Jan 2025 (7 months ago)
Organization Number: 1426518
ZIP code: 40214
City: Louisville
Primary County: Jefferson County
Principal Office: 5601 S 3RD ST, LOUISVILLE, KY 40214
Place of Formation: KENTUCKY
Authorized Shares: 1000

Registered Agent

Name Role
FELIX CARRILLO Registered Agent

Incorporator

Name Role
FELIX CARRILLO Incorporator

National Provider Identifier

NPI Number:
1184421950
Certification Date:
2025-02-27

Authorized Person:

Name:
DR. FELIX CARRILLO
Role:
PRESIDENT/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207RG0300X - Geriatric Medicine (Internal Medicine) Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
5026537463

Filings

Name File Date
Articles of Incorporation 2025-01-31

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Sources: Kentucky Secretary of State