Organization
DERBY CITY MEDICAL PARTNERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATONYA BANKS APRN (OWNER/PROVIDER APRN)
(502) 302-9241
Entity
Organization
Contact information
Practice address
1151 S 4TH ST STE 206, LOUISVILLE, KY 40203
(502) 808-1048
(888) 910-5166
Mailing address
1151 S 4TH ST STE 206, LOUISVILLE, KY 40203-3101
(502) 808-1048
(888) 910-5166
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100613820
—
KY
05
—
7100624280
—
KY
05
—
7100733400
—
KY
Enumeration date
03/15/2021
Last updated
05/05/2025
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