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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Robert Bertram | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States of America | [sources] | |||
| Description | License number: 2506 | [sources] | |||
| First name | Robert | [sources] | |||
| Last name | Bertram | [sources] | |||
| NPI | 1417008756 | [sources] | |||
| Last change | Last processed | First seen | |||
| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States of America | Kentucky Department for Medicaid Services | - | - | ||
Medical providers terminated or excluded from Kentucky's Medicaid program.
United States of America · DMS
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