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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Jessie Kunkel | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Jessie | [sources] | |||
| ID Number | OS016201 · PROMISe#: 102926330 | [sources] | |||
| Last name | Kunkel | [sources] | |||
| NPI | 1871811059 | [sources] | |||
| Position | DO | [sources] | |||
| Address | Westmoreland, PA | [sources] | |||
| Last change | Last processed | First seen | |||
List of providers excluded from participating in the Delaware Medicaid program.
United States · DHSS
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
us-medde-28c9f11759ef166df681a4570b6a35d699c346a5 · us-medpa-4a7baeaa8d149a6ee47726be4a37cb603fe70de9For 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 | |
| Westmoreland, PA | United States | |
| United States | Department of Human Services | - | - |