Type not stated

Matthew J. Benorden

Debarred entity

United States. Named in 1 sanctions listing.

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Summary

KMAP Provider Number 30004969070001

Sanctions and listings1

  • Effective
    24 Apr 2025

    Official designation

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

    Loss of license or other State action.

    kdhe.ks.gov

Identifiers1

IdentifierNumber
NPI number1346924990

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