Type not stated

Mary C. Vernon

Debarred entity

United States. Named in 2 sanctions listings.

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Summary

KMAP Provider Number 100193860F,J,K,O

License number: KS 0417719

Sanctions and listings2

  • Effective
    22 Dec 2014

    Official designation

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

    Loss of license or other State action.

    kdhe.ks.gov

  • Effective
    22 Dec 2014

    Official designation

    Missouri Medicaid Audit & ComplianceUS Missouri Medicaid Provider TerminationsUnited States

    REVOKED LICENSE

    mmac.mo.gov

Identifiers1

IdentifierNumber
NPI number1467560516

Other names1

Also known as1

VERNON, MARY C

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