Person

Aaron Moulton

Debarred entity

United States. Named in 2 sanctions listings.

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Summary

License number: 34340

Sanctions and listings2

  • Effective
    6 Jan 2026

    Official designation

    Medicaid Management Information SystemUS West Virginia Medicaid Provider Exclusions and TerminationsUnited States

    Terminated

    Inactive License Status

    wvmmis.com

  • Effective
    22 Apr 2026

    Official designation

    Kentucky Department for Medicaid ServicesUS Kentucky Terminated and Excluded ProvidersUnited States

    Violation of KMAP Policy

    chfs.ky.gov

Identifiers1

IdentifierNumber
NPI number1265060552

Addresses1

  • 1408 Cambell Dr, Coal Grove, OH 45638

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