Person
Screen this subjectShawn Willson
Debarred entityUnited States. Named in 2 sanctions listings.
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
- Effective
- 17 May 2022
Official designation
Kansas Department of Health and EnvironmentUS Kansas Medicaid Terminated Provider ListUnited States
Terminated under a separate Medicaid enrollment.
Connections1
Other links1
- Linked record unavailableLinked from"OWNERSHIP"
Identifiers1
| Identifier | Number |
|---|---|
| NPI number | 1952502544 |
Addresses1
ASHEVILLE, NC 28806
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