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THOMAS MCNEESE KELLER

Debarred entity
TypePerson[sources]
NameTHOMAS MCNEESE KELLER · Thomas McNeese Keller[sources]
Birth date[sources]
Nationalitynot available[sources]
CountryUnited States of America[sources]
DescriptionUPIN: A43302[sources]
First nameTHOMAS · Thomas[sources]
Last nameKELLER · Keller[sources]
Middle nameMCNEESE · McNeese[sources]
NPI1356318232 · 1760781231[sources]
Registration number00G272880 · G27288[sources]
SectorPhysician[sources]
Unique Entity IDGNV4DP86SYB4[sources]
PositionPAIN MANAGEMENT (PHYSICIAN (MD, DO))[sources]
Address751 Church Street, Santa Rosa, CA, 95405 · P O BOX 3007, SAN PEDRO, CA 90733 · SAN PEDRO, CA 90733, USA[sources]
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Data sources

US California Medicaid Suspended and ineligible providers22,822

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US SAM Procurement Exclusions105,254

A database of suppliers who have been excluded from participating in US federal procurement.

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Source data IDs: us-fed-excl-thomas-mcneese-keller-90733-san-pedro · us-medca-f9daf54faaa4daec7717f7e722ce34195fe133bd

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