| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | KELLY LYNN VINCENT · Kelly L Vincent | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| Description | Provider ID: 0441051 | [sources] | |||
| First name | Kelly | [sources] | |||
| Last name | Vincent | [sources] | |||
| Middle name | L · LYNN | [sources] | |||
| NPI | 1013594068 | [sources] | |||
| Sector | 25 - Non-Agency Personal Care Aide | [sources] | |||
| Position | PERSONAL CARE PROVID (INDIVIDUAL (UNAFFILI) | [sources] | |||
| Address | 1250 LAKEVIEW DRIVE, LOT 44, DELAND, FL 32720 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers excluded or suspended from Ohio's Medicaid program.
United States · ODM
People and companies excluded from Federally funded health care programs
United States · OIG
us-fed-excl-kelly-lynn-vincent-32720-deland · us-medoh-cadc9921c0d634147c9a7e768fdd9983a97d49e0 · us-medoh-4bdd6ed92a7176059ba234a0a1d0d832a4809dedFor experts: raw data explorer
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| United States | Ohio Department of Medicaid | - | - |