Person

Joshua Kadetz

Debarred entity

United States. Named in 2 sanctions listings.

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Summary

License number: 42223

Sanctions and listings2

  • Effective
    14 May 2021

    Official designation

    Kentucky Department for Medicaid ServicesUS Kentucky Terminated and Excluded ProvidersUnited States

    License suspended

    chfs.ky.gov

  • Effective
    14 May 2021

    Official designation

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

    Terminated Indefinitely

    Terminated by other State Medicaid Agency. License Revocation.

    wvmmis.com

Identifiers1

IdentifierNumber
NPI number1245410869

Addresses1

  • 625 Chestnut Drive, Suite 106, Walton, KY 41094

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