Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | John Korba | [sources] | |||
Birth date | not available | [sources] | |||
Nationality | not available | [sources] | |||
Country | United States of America | [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 |
Medicaid providers sanctioned in West Virginia's Medicaid program.
United States of America · MMIS
Medical providers terminated or excluded from Kentucky's Medicaid program.
United States of America · DMS
us-medwv-11747a200dc1a630ad97ff4e2f0f406c90023c9a
· us-medky-0ec875126eea2741d76076af074722409b063354
For experts: raw data explorer
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Sanctions | |||||
---|---|---|---|---|---|
Country | Authority | Program | Start date | End date | |
United States of America | Kentucky Department for Medicaid Services | - |
Address | ||
---|---|---|
Full address | Country | |
996 Wilkinson TRCE, Suite A5, Bowling Green, KY 42103-3407 | United States of America |
United States of America | Medicaid Management Information System | - | - |