| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | FREE, KEVIN R. · Kevin Russell Free | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Kevin | [sources] | |||
| Last name | Free | [sources] | |||
| Middle name | Russell | [sources] | |||
| Registration number | G65529 | [sources] | |||
| Sector | MD · Physician | [sources] | |||
| Address | 14 PATTEN TERRACE, CEDAR GROVE, NJ 07009 · 14 Patten Terrace, Cedar Grove, NJ | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States · OIFP
us-medca-0259ff1308a898773eaf1830e073791cd5fbe084 · us-mednj-a857327742ff35fc36b733186ac37a0a411504dbFor experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States | New Jersey Office of the State Comptroller | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| 14 PATTEN TERRACE, CEDAR GROVE, NJ 07009 | United States | |
| United States | Department of Health Care Services | - | - |