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KENNETH J. HAYLES, M.D., P.A.

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Company Details

Name: KENNETH J. HAYLES, M.D., P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 01 Jul 2002 (23 years ago)
Business ID: 719222
ZIP code: 38703
County: Washington
State of Incorporation: MISSISSIPPI
Principal Office Address: 1550 MEDICAL PARK ONEGREENVILLE, MS 38703-7239

Agent

Name Role Address
KENNETH J HAYLES Agent 1550 MEDICAL PARK ONE, GREENVILLE, MS 38703-7239

Incorporator

Name Role Address
Kenneth Hayles Incorporator 1550 Medical Park One, Greenville, MS 38703-7239

President

Name Role Address
Kenneth Hayles President 1550 Medical Park One, Greenville, MS 38703-7239

Director

Name Role Address
Kenneth Hayles Director 1550 Medical Park One, Greenville, MS 38703-7239

Unique Entity ID

CAGE Code:
6LD18
UEI Expiration Date:
2015-01-08

Business Information

Activation Date:
2014-01-08
Initial Registration Date:
2011-11-22

Commercial and government entity program

CAGE number:
6LD18
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2015-01-08

Contact Information

POC:
CINDY BRITT

National Provider Identifier

NPI Number:
1033208129

Authorized Person:

Name:
KENNETH J HAYLES
Role:
OWNER PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207W00000X - Ophthalmology Physician
Is Primary:
Yes

Contacts:

Fax:
6623356208

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2015-12-08 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2015-09-16 Notice to Dissolve/Revoke
Annual Report Filed 2014-04-03 Annual Report
Annual Report Filed 2013-04-02 Annual Report
Annual Report Filed 2012-04-11 Annual Report
Annual Report Filed 2011-04-12 Annual Report
Annual Report Filed 2010-03-29 Annual Report
Annual Report Filed 2009-04-28 Annual Report
Annual Report Filed 2008-06-10 Annual Report
Annual Report Filed 2007-05-01 Annual Report

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Date of last update: 24 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website