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KIM STANLEY-SANGWOOK DO

Debarred entity

KIM STANLEY-SANGWOOK DO is a person of interest. They have not been found on international sanctions lists.

Type	Person				[sources]
Name	KIM STANLEY-SANGWOOK DO · Stanley Sangwook Kim DO				[sources]
Birth date	not available				[sources]
Nationality	not available				[sources]
Country	United States				[sources]
First name	Stanley				[sources]
ID Number	`00238366` · `OS014227`				[sources]
Last name	Kim				[sources]
Middle name	Sangwook				[sources]
NPI	`1902815087`				[sources]
Sector	Physician				[sources]
Title	DO				[sources]
Address	Out of State, Out of State				[sources]
Last change	2024-11-29	Last processed	2025-12-01	First seen	2024-09-02

Sanctions
Country	Authority	Program	Start date	End date
United States	Department of Human Services		2017-06-20	-

Address
Full address	Country
Out of State, Out of State	United States

Medical providers who are precluded from participation in the Medical Assistance Program

United States · DHS

Medical providers deemed ineligible to participate in New York State's Medicaid program.

United States · OMIG

Source data IDs: us-medny-bf393259ac633af42ee0039ebdab853a39ca2684 · us-medpa-c1281bc29c2a398de3118ca63b31773d3a8b76d5

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