Person
Screen this subjectJohn Korba
Debarred entityUnited States. Named in 2 sanctions listings.
Summary
License number: 25747
Sanctions and listings2
- Effective
- 30 Aug 2022
Official designation
Kentucky Department for Medicaid ServicesUS Kentucky Terminated and Excluded ProvidersUnited States
Violation of KMAP Policy
- Effective
- 30 Aug 2022
Official designation
Medicaid Management Information SystemUS West Virginia Medicaid Provider Exclusions and TerminationsUnited States
Terminated Indefinitely
Terminated by another State Medicaid Agency
Identifiers1
| Identifier | Number |
|---|---|
| NPI number | 1699738856 |
Addresses1
996 Wilkinson TRCE, Suite A5, Bowling Green, KY 42103
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