Type not stated

Brock Caffee

Debarred entity

United States. Named in 1 sanctions listing.

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Summary

KMAP Provider Number 201209560A

Sanctions and listings1

  • Effective
    17 Nov 2021

    Official designation

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

    Terminated under a separate Medicaid enrollment.

    kdhe.ks.gov

Identifiers1

IdentifierNumber
NPI number1093844011

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