| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | John Korba | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| Description | License number: 25747 | [sources] | |||
| First name | John | [sources] | |||
| Last name | Korba | [sources] | |||
| NPI | 1699738856 | [sources] | |||
| Address | 996 Wilkinson TRCE, Suite A5, Bowling Green, KY 42103-3407 | [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-medky-0ec875126eea2741d76076af074722409b063354 · us-medwv-11747a200dc1a630ad97ff4e2f0f406c90023c9aFor 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 | |
| 996 Wilkinson TRCE, Suite A5, Bowling Green, KY 42103-3407 | United States | |
| United States | Medicaid Management Information System | - | - |