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KENNETH HINES, M.D., PA

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Company Details

Name: KENNETH HINES, M.D., PA
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 04 Apr 2002 (23 years ago)
Business ID: 715276
ZIP code: 38930
County: Leflore
State of Incorporation: MISSISSIPPI
Principal Office Address: 408 WEST MARKET STREETGREENWOOD, MS 38930

Agent

Name Role Address
KENNETH HINES Agent 408 WEST MARKET STREET, GREENWOOD, MS 38930

Incorporator

Name Role Address
H D Brock Incorporator 308 Fulton Street P O Box 941, Greenwood, MS 38935

Director

Name Role Address
Kenneth L Hines Director 408 W Market St, Greenwood, MS 38930

President

Name Role Address
Kenneth L Hines President 408 W Market St, Greenwood, MS 38930

National Provider Identifier

NPI Number:
1972689321

Authorized Person:

Name:
KENNETH LEE HINES
Role:
PRESIDENT 100 PERCENT STOCKHOLDER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6624556065

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2024-12-01 Action of Intent to Dissolve: AR: KENNETH HINES, M.D., PA
Notice to Dissolve/Revoke Filed 2024-09-01 Notice of Intent to Dissolve: AR: KENNETH HINES, M.D., PA
Annual Report Filed 2023-02-06 Annual Report For KENNETH HINES, M.D., PA
Annual Report Filed 2022-02-27 Annual Report For KENNETH HINES, M.D., PA
Annual Report Filed 2021-04-12 Annual Report For KENNETH HINES, M.D., PA
Annual Report Filed 2020-03-11 Annual Report For KENNETH HINES, M.D., PA
Annual Report Filed 2019-07-12 Annual Report For KENNETH HINES, M.D., PA
Annual Report Filed 2018-05-10 Annual Report For KENNETH HINES, M.D., PA
Annual Report Filed 2017-02-11 Annual Report For KENNETH HINES, M.D., PA
Annual Report Filed 2016-02-23 Annual Report For KENNETH HINES, M.D., PA

Paycheck Protection Program

Jobs Reported:
4
Initial Approval Amount:
$43,400
Date Approved:
2020-04-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$43,400
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$43,661.59
Servicing Lender:
Planters Bank & Trust Company
Use of Proceeds:
Payroll: $32,550
Utilities: $3,350
Rent: $7,500
Jobs Reported:
4
Initial Approval Amount:
$40,950
Date Approved:
2021-02-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$40,950
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$41,114.92
Servicing Lender:
Planters Bank & Trust Company
Use of Proceeds:
Payroll: $40,948
Utilities: $1

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Date of last update: 24 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website