| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | CARRIE REBECCA LEE HALL · Carrie Lee Hall | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| Description | License number: 3004904 | [sources] | |||
| First name | CARRIE · Carrie Lee | [sources] | |||
| Last name | Hall · LEE HALL | [sources] | |||
| Middle name | REBECCA | [sources] | |||
| NPI | 1912931064 | [sources] | |||
| Position | NURSE/NURSES AIDE (IND- LIC HC SERV PRO) | [sources] | |||
| Address | 3000 ASH AVENUE, PEWEE VALLEY, KY 40056 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers terminated or excluded from Kentucky's Medicaid program.
United States · DMS
People and companies excluded from Federally funded health care programs
United States · OIG
us-fed-excl-carrie-rebecca-lee-hall-40056-pewee-valley · us-medky-36b54b994d2b56b57bfc4d0cd7f6434d7d112fbaFor experts: raw data explorer
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| United States | Kentucky Department for Medicaid Services | - | - |