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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Jacqueline Davis | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States of America | [sources] | |||
| Description | License number: 3006612 | [sources] | |||
| First name | Jacqueline | [sources] | |||
| Last name | Davis | [sources] | |||
| NPI | 1871813550 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers terminated or excluded from Kentucky's Medicaid program.
United States of America · DMS
For experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States of America | Kentucky Department for Medicaid Services | - | |||