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OIG exclusion detail

KIM ANDERSON

This page shows an imported LEIE row. Verify details against the official OIG source before acting.

Imported OIG rowOfficial OIG source
NPI
0000000000
Name
KIM ANDERSON
Address
1026 CLAY PLACE, LEBANON, TN, 37087
Specialty
CLINIC
Exclusion type
1128a4
Exclusion date
20130320
Reinstatement date
00000000
Waiver
00000000

Source snapshot

Imported: May 05, 2026

Rows: 83,001

Checksum: 3a10b8ee0e4691855f74ce65a5e733672474291f79ed1f7cef163328d945e9a7

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