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KENNETH G. PERRY, JR., M.D., P.A.

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Company Details

Name: KENNETH G. PERRY, JR., M.D., P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 01 Jan 2001 (24 years ago)
Business ID: 696065
ZIP code: 39110
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 365 Kingsbridge RdMadison, MS 39110

Incorporator

Name Role Address
Joseph A House Incorporator 501 Marshall Street St 600, Jackson, MS 39202

Director

Name Role Address
Kenneth G Perry Jr Director 365 Kingsbridge Rd, Madison, MS 39110

President

Name Role Address
Kenneth G Perry Jr President 365 Kingsbridge Rd, Madison, MS 39110

Secretary

Name Role Address
Kenneth G Perry Jr Secretary 365 Kingsbridge Rd, Madison, MS 39110

Treasurer

Name Role Address
Kenneth G Perry Jr Treasurer 365 Kingsbridge Rd, Madison, MS 39110

National Provider Identifier

NPI Number:
1316003114

Authorized Person:

Name:
NICOLE YOUNKINS
Role:
QUALITY ASSURANCE
Phone:

Taxonomy:

Selected Taxonomy:
207VM0101X - Maternal & Fetal Medicine Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
640937944
Plan Year:
2015
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
6
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Agent Resignation Filed 2023-10-18 Agent Resignation For Painter, William S
Admin Dissolution Filed 2017-12-06 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2017-09-06 Notice to Dissolve/Revoke
Registered Agent Change of Address Filed 2016-05-03 Agent Address Change For Painter, William S
Annual Report Filed 2016-03-31 Annual Report For KENNETH G. PERRY, JR., M.D., P.A.
Registered Agent Change of Address Filed 2016-03-30 Agent Address Change For Painter, William S
Annual Report Filed 2015-06-22 Annual Report For KENNETH G. PERRY, JR., M.D., P.A.
Annual Report Filed 2014-01-29 Annual Report
Annual Report Filed 2013-03-14 Annual Report
Annual Report Filed 2012-10-01 Annual Report

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Date of last update: 03 May 2025

Sources: Company Profile on Mississippi Secretary of State Website