| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Timothy J Kutz · Timothy John Kutz | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Timothy | [sources] | |||
| ID Number | MD041055E · PROMISe# 001244575 | [sources] | |||
| Last name | Kutz | [sources] | |||
| Middle name | J | [sources] | |||
| NPI | 1346394061 | [sources] | |||
| Sector | 207Q00000X | [sources] | |||
| Address | Berks, PA | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
List of providers excluded from participating in the Delaware Medicaid program.
United States · DHSS
us-medpa-62fbb9d039898dbed100c3fa2895ea9c43f4074b · us-medde-3c7eabc4e80b4fb27daba6035721a242425afebeFor experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States | Pennsylvania Department of Human services | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| BERKS, PA · Berks, PA | United States | |
| United States | Department of Human Services | - | - |