Statements: CUSTIS KEVIN T MD

Canonical ID: NK-FDLpd4mzU35SGwiVvzmVsh · Entity type: Person (reference)

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Property	Value	Lang	Source dataset	Source ID	First seen
`Person:address`	BELLE MEAD, NJ 8502, USA	eng	us_sam_exclusions	`us-fed-excl-kevin-tyrone-custis-8502-belle-mead`	2024-06-07
`Person:address`	63 MEADOW LARK LANE, APT 1, BELLE MEAD, NJ 08502	eng	us_hhs_exclusions	`us-fed-excl-kevin-tyrone-custis-08502-belle-mead`	2024-06-06
`Person:birthDate`	1964-10-03	eng	us_hhs_exclusions	`us-fed-excl-kevin-tyrone-custis-08502-belle-mead`	2024-05-08
`Person:country`	us	eng	us_hhs_exclusions	`us-fed-excl-kevin-tyrone-custis-08502-belle-mead`	2024-05-08
`Person:country`	us	eng	us_sam_exclusions	`us-fed-excl-kevin-tyrone-custis-8502-belle-mead`	2024-05-09
`Person:createdAt`	2023-12-11	eng	us_sam_exclusions	`us-fed-excl-kevin-tyrone-custis-8502-belle-mead`	2024-05-09
`Person:firstName`	KEVIN	eng	us_sam_exclusions	`us-fed-excl-kevin-tyrone-custis-8502-belle-mead`	2024-05-09
`Person:firstName`	KEVIN	eng	us_hhs_exclusions	`us-fed-excl-kevin-tyrone-custis-08502-belle-mead`	2024-05-08
`Person:id`	44a0c715863447aaac4e9b7896ae171c788f4c20	eng	us_sam_exclusions	`us-fed-excl-kevin-tyrone-custis-8502-belle-mead`	2025-02-23
`Person:id`	7e18e77a298b048134b82c9117bcc4d5864d2b75	eng	us_hhs_exclusions	`us-fed-excl-kevin-tyrone-custis-08502-belle-mead`	2025-09-12
`Person:lastName`	CUSTIS	eng	us_sam_exclusions	`us-fed-excl-kevin-tyrone-custis-8502-belle-mead`	2024-05-09
`Person:lastName`	CUSTIS	eng	us_hhs_exclusions	`us-fed-excl-kevin-tyrone-custis-08502-belle-mead`	2024-05-08
`Person:middleName`	TYRONE	eng	us_sam_exclusions	`us-fed-excl-kevin-tyrone-custis-8502-belle-mead`	2024-10-11
`Person:middleName`	TYRONE	eng	us_hhs_exclusions	`us-fed-excl-kevin-tyrone-custis-08502-belle-mead`	2024-10-11
`Person:name`	KEVIN TYRONE CUSTIS	eng	us_hhs_exclusions	`us-fed-excl-kevin-tyrone-custis-08502-belle-mead`	2024-05-08
`Person:name`	KEVIN TYRONE CUSTIS	eng	us_sam_exclusions	`us-fed-excl-kevin-tyrone-custis-8502-belle-mead`	2024-05-09
`Person:npiCode`	1811976970	eng	us_hhs_exclusions	`us-fed-excl-kevin-tyrone-custis-08502-belle-mead`	2024-06-06
`Person:position`	FAMILY PRACTICE (PHYSICIAN (MD, DO))	eng	us_hhs_exclusions	`us-fed-excl-kevin-tyrone-custis-08502-belle-mead`	2024-05-08
`Person:programId`	US-HHS-OIG	eng	us_hhs_exclusions	`us-fed-excl-kevin-tyrone-custis-08502-belle-mead`	2025-09-12
`Person:topics`	debarment	eng	us_sam_exclusions	`us-fed-excl-kevin-tyrone-custis-8502-belle-mead`	2024-05-09
`Person:topics`	debarment	eng	us_hhs_exclusions	`us-fed-excl-kevin-tyrone-custis-08502-belle-mead`	2024-05-08
`Person:uniqueEntityId`	PHNTN47NLV21	eng	us_sam_exclusions	`us-fed-excl-kevin-tyrone-custis-8502-belle-mead`	2024-12-03

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