Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | Kackman, Shanon · SHANON KACKMAN | [sources] | |||
Birth date | [sources] | ||||
Nationality | not available | [sources] | |||
Country | United States | [sources] | |||
First name | SHANON | [sources] | |||
Last name | KACKMAN | [sources] | |||
Sector | Licensed Practical Nurse, L12503 ND | [sources] | |||
Position | NURSE/NURSES AIDE (IND- LIC HC SERV PRO) | [sources] | |||
Address | P O BOX 424, LIDGERWOOD, ND 58053 · PO BOX 424 Lidgerwood, ND 58053 | [sources] | |||
Last change | Last processed | First seen |
This dataset contains a list of providers who have been terminated for cause from North Dakota's Medicaid program.
United States · NDHHS
People and companies excluded from Federally funded health care programs
United States · OIG
us-mednd-58d176ec4cdea228484348d3d10b410df464281c
· us-fed-excl-shanon-kackman-58053-lidgerwood
For experts: raw data explorer
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