Person

Shawn Willson

Debarred entity

United States. Named in 2 sanctions listings.

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Summary

KMAP Provider Number 200599170C

Sanctions and listings2

  • Effective
    15 Nov 2021

    Official designation

    NC Medicaid Division of Health BenefitsUS North Carolina Excluded Providers ListUnited States

    STATE

    medicaid.ncdhhs.gov

  • Effective
    17 May 2022

    Official designation

    Kansas Department of Health and EnvironmentUS Kansas Medicaid Terminated Provider ListUnited States

    Terminated under a separate Medicaid enrollment.

    kdhe.ks.gov

Connections1

Other links1

  • Linked record unavailable
    Linked from
    "OWNERSHIP"

Identifiers1

IdentifierNumber
NPI number1952502544

Addresses1

  • ASHEVILLE, NC 28806

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