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TREMAYNE KELLOM

Debarred entity

TREMAYNE KELLOM is a person of interest. They have not been found on international sanctions lists.

Type	Person				[sources]
Name	TREMAYNE KELLOM · Treymane Carlos Van Tranvers Kellom				[sources]
Birth date	1979-10-05				[sources]
Nationality	not available				[sources]
Country	United States				[sources]
Description	Provider ID: 0290227				[sources]
First name	TREMAYNE · Treymane				[sources]
Last name	Kellom				[sources]
Middle name	Carlos Van Tranvers				[sources]
NPI	`1487142329`				[sources]
Sector	96 - Behavioral Health Para-Professional				[sources]
Unique Entity ID	`CLFVZKCKX9C5`				[sources]
Position	COUNSELOR (IND- LIC HC SERV PRO)				[sources]
Address	16915 WALDEN AVENUE, CLEVELAND, OH 44128 · CLEVELAND, OH 44128, USA				[sources]
Last change	2025-09-12	Last processed	2025-12-01	First seen	2024-05-08

Sanctions
Country	Authority	Program	Start date	End date
United States	OPM		2024-03-12	-

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

United States · ODM

A database of suppliers who have been excluded from participating in US federal procurement.

United States · GSA

People and companies excluded from Federally funded health care programs

United States · OIG

Source data IDs: us-medoh-d73cec2e4a696b46b6db9e82601cc69f63d8419f · us-fed-excl-tremayne-kellom-44128-cleveland

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