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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Steven W. Powell | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| Description | License number: 53057 | [sources] | |||
| First name | Steven · Steven W. | [sources] | |||
| ID Number | MD463129 | [sources] | |||
| Last name | Powell | [sources] | |||
| Middle name | W. | [sources] | |||
| NPI | 1477649168 | [sources] | |||
| Address | Out of Sate (CT), PA | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
Medical providers terminated or excluded from Kentucky's Medicaid program.
United States · DMS
us-medpa-fbff08e96e9501e8af329751c51dbf46b7b3907d · us-medky-3370030442e78485e83be590815a777286c44022For experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States | Kentucky Department for Medicaid Services | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| Out of Sate (CT), PA | United States | |
| United States | Department of Human Services | - | - |