Canonical ID: us-medks-e1951b7f874dc65a3ce2864b025a82f34d209ca3
· Entity type: LegalEntity
(reference)
Property | Value | Lang | Source dataset | Source ID | First seen | ||
---|---|---|---|---|---|---|---|
LegalEntity:country | us | eng | us_ks_med_exclusions | us-medks-e1951b7f874dc65a3ce2864b025a82f34d209ca3 | |||
LegalEntity:description | KMAP Provider Number 201209560A | eng | us_ks_med_exclusions | us-medks-e1951b7f874dc65a3ce2864b025a82f34d209ca3 | |||
LegalEntity:id | 49cda3f79b8ffef336fa4f6ef9fb8169813d78e1 | eng | us_ks_med_exclusions | us-medks-e1951b7f874dc65a3ce2864b025a82f34d209ca3 | |||
LegalEntity:name | Brock Caffee | eng | us_ks_med_exclusions | us-medks-e1951b7f874dc65a3ce2864b025a82f34d209ca3 | |||
LegalEntity:npiCode | 1093844011 | eng | us_ks_med_exclusions | us-medks-e1951b7f874dc65a3ce2864b025a82f34d209ca3 | |||
LegalEntity:sector | Mental Health Provider | eng | us_ks_med_exclusions | us-medks-e1951b7f874dc65a3ce2864b025a82f34d209ca3 | |||
LegalEntity:topics | debarment | eng | us_ks_med_exclusions | us-medks-e1951b7f874dc65a3ce2864b025a82f34d209ca3 |