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Kyle Humphrey

Debarred entity
TypePerson[sources]
NameKyle Humphrey[sources]
Birth datenot available[sources]
Nationalitynot available[sources]
CountryUnited States[sources]
First nameKyle[sources]
Last nameHumphrey[sources]
NPI1235556859[sources]
AddressPO Box 350, Beaver, WV 25813[sources]
Last changeLast processedFirst seen

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Data sources

US West Virginia Medicaid Provider Exclusions and Terminations306

Medicaid providers sanctioned in West Virginia's Medicaid program.

United States · MMIS


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