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KICKAPOO HEALTH CARE CLINIC — OIG Excluded Provider (SPRINGFIELD, MO, 1128a1)

KICKAPOO HEALTH CARE CLINIC — OIG Excluded Provider (SPRINGFIELD, MO, 1128a1) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: KICKAPOO HEALTH CARE CLINIC; Type: Entity; Provider category: OSTEOPATHIC PRAC.

NameKICKAPOO HEALTH CARE CLINIC
TypeEntity
Provider categoryOSTEOPATHIC PRAC
CitySPRINGFIELD
StateMO
ZIP65807
Exclusion authority1128a1
Exclusion reasonConviction of program-related crimes
Exclusion date1991-01-23
SourceHHS-OIG LEIE

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