| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Joshua Kadetz | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| Description | License number: 42223 | [sources] | |||
| First name | Joshua | [sources] | |||
| Last name | Kadetz | [sources] | |||
| NPI | 1245410869 | [sources] | |||
| Address | 625 Chestnut Drive, Suite 106, Walton, KY 41094 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers terminated or excluded from Kentucky's Medicaid program.
United States · DMS
Medicaid providers sanctioned in West Virginia's Medicaid program.
United States · MMIS
us-medwv-010bc20540df0e4628672839d9d5a6949ac0b725 · us-medky-0091870d1ed8cab33dffd37b6ecbfbbccf2df04dFor 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 | |
| 625 Chestnut Drive, Suite 106, Walton, KY 41094 | United States | |
| United States | Medicaid Management Information System | - | - |