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KCC Infusion LLC

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Company Details

Name: KCC Infusion LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 16 Apr 2021 (4 years ago)
Business ID: 1274201
ZIP code: 39301
County: Lauderdale
State of Incorporation: MISSISSIPPI
Principal Office Address: 1501 23rd Avenue MERIDIAN, MS 39301

Agent

Name Role Address
James Hiram Patrenos Jr Agent 1170 Northeast Industrial Park Road, Meridian, MS 39301

Organizer

Name Role Address
James H Patrenos Jr Organizer PO Box 1528, Livingston, AL 35470

Member

Name Role Address
KCC, Inc. Member PO Box 1249, Livingston, AL 35470
Brett E Dethmers Member 12 Cadillac, Suite 230, Brentwood, TN 37027
Stephen L Foreman Member 12 Cadillac, Suite 230, Brentwood, TN 37027

National Provider Identifier

NPI Number:
1942875158
Certification Date:
2022-05-02

Authorized Person:

Name:
BRAD GILCHRIST
Role:
COO
Phone:

Taxonomy:

Selected Taxonomy:
261QI0500X - Infusion Therapy Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6014823948

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-01-13 Annual Report For KCC Infusion LLC
Annual Report LLC Filed 2024-03-04 Annual Report For KCC Infusion LLC
Amendment Form Filed 2023-03-16 Amendment For KCC Infusion LLC
Annual Report LLC Filed 2023-01-10 Annual Report For KCC Infusion LLC
Annual Report LLC Filed 2022-02-10 Annual Report For KCC Infusion LLC
Formation Form Filed 2021-04-16 Formation For KCC Infusion LLC
Amendment Form Filed 2021-04-16 Amendment For KCC Infusion LLC

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Date of last update: 26 May 2025

Sources: Company Profile on Mississippi Secretary of State Website