Kackman, Shanon

Debarred entity

Born 11 Aug 1981 (45 years old),United States. Named in 2 sanctions listings.

Sanctions and listings2

Effective
20 Mar 2024
Official designation
North Dakota Health and Human ServicesUS North Dakota Medicaid Terminated Provider ListUnited States
Reciprocal to OIG Exclusion
hhs.nd.gov
Effective
20 Mar 2024
List of Excluded Individuals/Entities (LEIE)
Department of Health and Human Services Office of Inspector GeneralUS Health and Human Services Inspector General ExclusionsUnited States
1128b4
Programme US-HHS-OIGoig.hhs.gov oig.hhs.gov

Positions held1

Period not retained
NURSE/NURSES AIDE (IND- LIC HC SERV PRO)

Identifiers1

Identifier	Number
ID number	L12503

Other names1

Also known as1

SHANON KACKMAN

Addresses2

PO Box 424, Lidgerwood, ND 58053
P O BOX 424, LIDGERWOOD, ND 58053

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