Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | Kristen Mews | [sources] | |||
Birth date | not available | [sources] | |||
Nationality | not available | [sources] | |||
Country | United States of America | [sources] | |||
Description | License number: 164569 | [sources] | |||
First name | Kristen | [sources] | |||
Last name | Mews | [sources] | |||
NPI | 1477734739 | [sources] | |||
Address | 4835 Poplar Level Road, Ste # 110, Louisville, KY 40213-2906 | [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-medky-b66ee3fff6427fdead2a08ea5b01244683bd35f4
· us-medwv-85436ad1ab57d3272eb4ea5feb6d3aea119c52a1
For experts: raw data explorer
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Sanctions | |||||
---|---|---|---|---|---|
Country | Authority | Program | Start date | End date | |
United States of America | Medicaid Management Information System | - |
Address | ||
---|---|---|
Full address | Country | |
4835 Poplar Level Road, Ste # 110, Louisville, KY 40213-2906 | United States of America |
United States of America | Kentucky Department for Medicaid Services | - | - |