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Crystal D Clark

Debarred entity

Crystal D Clark is a person of interest. They have not been found on international sanctions lists.

Type	Person				[sources]
Name	Crystal D Clark				[sources]
Birth date	1980-04-09				[sources]
Nationality	not available				[sources]
Country	United States				[sources]
Description	Provider ID: 3146303, 0097741				[sources]
First name	Crystal				[sources]
Last name	Clark				[sources]
Middle name	D				[sources]
NPI	`1942503198`				[sources]
Sector	38 - Non-Agency Nurse PDN -- RN OR LPN, 38 - Non-Agency Nurse PDN -- RN OR LPN				[sources]
Position	NURSE/NURSES AIDE (IND- LIC HC SERV PRO)				[sources]
Address	17347 E KY 8, QUINCY, KY 41166				[sources]
Last change	2025-09-12	Last processed	2025-12-01	First seen	2024-05-08

Relationships

Sanctions
Country	Authority	Program	Start date	End date
United States	Department of Health and Human Services Office of Inspector General		2023-12-20	-

Data sources

US Health and Human Sciences Inspector General Exclusions81,271

People and companies excluded from Federally funded health care programs

United States · OIG

US Ohio Medicaid Excluded and Suspended Providers2,153

Medical providers excluded or suspended from Ohio's Medicaid program.

United States · ODM

Source data IDs: us-fed-excl-crystal-d-clark-41166-quincy · us-medoh-7b520e8fa0eccc2a75d7a3028034ec440977beed · us-medoh-fc0f16b834041e5017be5875d3b4f93ef23fce2b

For experts: raw data explorer

Factsheet Data sources

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