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PATRIOT ONE PRIMARY CARE, PSC

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Company Details

Name: PATRIOT ONE PRIMARY CARE, PSC
Legal type: Kentucky Professional Services Corp
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 16 Mar 2022 (3 years ago)
Organization Date: 16 Mar 2022 (3 years ago)
Last Annual Report: 06 Mar 2025 (4 months ago)
Organization Number: 1196881
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40513
City: Lexington
Primary County: Fayette County
Principal Office: 989 GOVERNORS LANE STE 220, LEXINGTON, KY 40513
Place of Formation: KENTUCKY
Authorized Shares: 1000

Registered Agent

Name Role
ELIZABETH MENTZER Registered Agent

Incorporator

Name Role
GREGORY A NAPIER Incorporator

National Provider Identifier

NPI Number:
1699410548
Certification Date:
2022-06-20

Authorized Person:

Name:
ELIZABETH MENTZER
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LP0200X - Pediatric Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363AM0700X - Medical Physician Assistant
Is Primary:
Yes

Contacts:

Fax:
8594478013

Filings

Name File Date
Annual Report 2025-03-06
Annual Report 2024-05-21
Registered Agent name/address change 2023-06-07
Principal Office Address Change 2023-06-07
Annual Report 2023-06-07

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Sources: Kentucky Secretary of State