KENNETH GERREN BANNISTER — OIG Excluded Provider (BRADENTON, FL, 1128b4)
KENNETH GERREN BANNISTER — OIG Excluded Provider (BRADENTON, FL, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: KENNETH GERREN BANNISTER; Type: Individual; Provider category: IND- LIC HC SERV PRO.
| Name | KENNETH GERREN BANNISTER |
|---|---|
| Type | Individual |
| Provider category | IND- LIC HC SERV PRO |
| Specialty | THERAPIST |
| City | BRADENTON |
| State | FL |
| ZIP | 34211 |
| Exclusion authority | 1128b4 |
| Exclusion reason | License revocation, suspension, or surrender |
| Exclusion date | 2020-04-20 |
| Source | HHS-OIG LEIE |
$1499/mo
Try ExcludeCheck →