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David Anderson

Debarred entity

David Anderson is a person of interest. They have not been found on international sanctions lists.

Type	Person				[sources]
Name	David Anderson · David M. Anderson				[sources]
Birth date	not available				[sources]
Nationality	not available				[sources]
Country	United States				[sources]
Description	License number: 16613				[sources]
First name	David				[sources]
ID Number	`MD047517L`				[sources]
Last name	Anderson				[sources]
Middle name	M.				[sources]
NPI	`1629082243`				[sources]
Title	MD				[sources]
Address	(WV), (WV)				[sources]
Last change	2024-11-29	Last processed	2025-11-15	First seen	2024-10-01

Sanctions
Country	Authority	Program	Start date	End date
United States	Kentucky Department for Medicaid Services		2020-03-04	-

Address
Full address	Country
(WV), (WV) · - WV, - WV · WV, WV	United States

Medical providers who are precluded from participation in the Medical Assistance Program

United States · DHS

Medical providers terminated or excluded from Kentucky's Medicaid program.

United States · DMS

Source data IDs: us-medpa-cf6284b99bf882119e5f12cb663055a07c6776a6 · us-medky-6b3010fc82602146bb27f601e24125530c79885f

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