KENT DOUGLAS ANDRE
Debarred entityBorn 8 Aug 1962 (64 years old),United States. Named in 4 sanctions listings.
Sanctions and listings4
- Listed
- 26 Dec 2017
- Effective
- 14 Dec 2017
Official designation
Nebraska Department of Health and Human ServicesUS Nebraska Medicaid Sanctioned ProvidersUnited States
TM-Termination
VN-Violation of NMAP Policy
- Listed
- 2 May 2018
- Effective
- 19 Feb 2018
- Listed
- 24 Oct 2017
- Effective
- 19 Oct 2017
Reciprocal
HHSUS SAM Procurement ExclusionsUnited StatesActive
Prohibition/Restriction
Excluded by the Department of Health and Human Services pursuant to section 1128 or other sections of the Social Security Act from participation in all Federal health care programs (the scope and effect of Federal health care program exclusions is described in 42 C.F.R. section 1001.1901).
- Effective
- 19 Oct 2017
List of Excluded Individuals/Entities (LEIE)
Department of Health and Human Services Office of Inspector GeneralUS Health and Human Services Inspector General ExclusionsUnited States
1128b4
Programme US-HHS-OIGoig.hhs.govoig.hhs.gov
Positions held1
Period not retained
LICENSED PRACTITIONE (IND- LIC HC SERV PRO)
Identifiers1
| Identifier | Number |
|---|---|
| NPI number | 1245425974 |
Other names1
Also known as1
Addresses3
511 OAKMONT DRIVE, VERMILLION, SD 57069
VERMILLION, SD 57069
VERMILLION, SD
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