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Modern Dermatology of Kentucky LLC

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Company Details

Name: Modern Dermatology of Kentucky LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 09 Sep 2020 (5 years ago)
Organization Date: 09 Sep 2020 (5 years ago)
Last Annual Report: 18 Mar 2025 (3 months ago)
Managed By: Members
Organization Number: 1112081
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 40503
City: Lexington
Primary County: Fayette County
Principal Office: 169 Burt Rd Ste A, Lexington, KY 40503
Place of Formation: KENTUCKY

Member

Name Role
Frank D. Combs Member
John G. Roth Member

Organizer

Name Role
Frank D Combs Organizer

Registered Agent

Name Role
Frank D Combs Registered Agent

National Provider Identifier

NPI Number:
1699382507
Certification Date:
2024-08-26

Authorized Person:

Name:
FRANK COMBS
Role:
MANAGING PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
174400000X - Specialist
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LA2100X - Acute Care Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LA2200X - Adult Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Fax:
8592772556

Form 5500 Series

Employer Identification Number (EIN):
852914575
Plan Year:
2023
Number Of Participants:
69
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
40
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
35
Sponsors Telephone Number:

Assumed Names

Name Status Expiration Date
COSMETIC SPECIALISTS Active 2026-10-27
KENTUCKY DERMATOLOGY Active 2026-10-27

Filings

Name File Date
Annual Report 2025-03-18
Annual Report 2024-03-25
Annual Report 2023-03-28
Annual Report 2022-04-14
Certificate of Assumed Name 2021-10-27

USAspending Awards / Financial Assistance

Date:
2021-02-13
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
400972.90
Total Face Value Of Loan:
400972.90

Paycheck Protection Program

Date Approved:
2021-02-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
400972.9
Current Approval Amount:
400972.9
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
403913.37

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Sources: Kentucky Secretary of State