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Derby City Medical Partners, LLC

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Company Details

Name: Derby City Medical Partners, LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 12 Feb 2021 (4 years ago)
Organization Date: 12 Feb 2021 (4 years ago)
Last Annual Report: 19 Jun 2024 (a year ago)
Managed By: Members
Organization Number: 1133775
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40203
City: Louisville
Primary County: Jefferson County
Principal Office: 1151 So. 4th Street , STE 206, LOUISVILLE, KY 40203
Place of Formation: KENTUCKY

Registered Agent

Name Role
Latonya Banks Registered Agent

Organizer

Name Role
Latonya Banks Organizer

Member

Name Role
LaTonya Banks Member

National Provider Identifier

NPI Number:
1811572530
Certification Date:
2025-05-05

Authorized Person:

Name:
LATONYA BANKS
Role:
OWNER/PROVIDER APRN
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
8889105166

Filings

Name File Date
Annual Report 2024-06-19
Principal Office Address Change 2024-06-19
Annual Report 2023-06-29
Reinstatement Certificate of Existence 2023-03-30
Reinstatement 2023-03-30

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Sources: Kentucky Secretary of State