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Profile Type	PERSON
Name	DOUGLAS EARL KELLEY
First Name	DOUGLAS
Middle Name	EARL
Last Name	KELLEY
Country	UNITED STATES
Birth Date	1955-08-26
Position	NURSE/NURSES AIDE (IND- LIC HC SERV PRO)
First Seen	2024-08-09
Last Seen	2024-10-24
Last Change	2024-10-11
Datasets	US HEALTH AND HUMAN SCIENCES INSPECTOR GENERAL EXCLUSIONS
Address	P O BOX 1002, THOMSON, IL 61285
Topics	DEBARRED ENTITY

Sanction Caption	US HHS OIG List of Excluded Individuals/Entities
Sanction Datasets	US Health and Human Sciences Inspector General Exclusions
Sanction First Seen	2024-08-09
Sanction Last Change	2024-08-09
Sanction Last Seen	2024-10-24
Sanction Properties	Authority: Department of Health and Human Services Office of Inspector General Start Date: 2024-08-20 Country: United States Entity: us-fed-excl-douglas-earl-kelley-61285-thomson Program: US HHS OIG List of Excluded Individuals/Entities Reason: 1128a4 Source URL: https://oig.hhs.gov/exclusions/index.asp

Sector	RN
Profile Type	PERSON
Name	DOUGLAS EARL KELLEY
First Name	DOUGLAS EARL
Last Name	KELLEY
Country	UNITED STATES
First Seen	2024-10-02
Last Seen	2024-10-25
Last Change	2024-10-02
Datasets	US IOWA MEDICAID TERMINATED PROVIDER LIST
Topics	DEBARRED ENTITY
Description	STATE LICENSE TYPE / NUMBER: RN / 109084

Sanction Caption	Sanction
Sanction Datasets	US Iowa Medicaid Terminated Provider List
Sanction First Seen	2024-10-02
Sanction Last Change	2024-10-02
Sanction Last Seen	2024-10-25
Sanction Properties	Authority: Iowa Health & Human Services Sanction Description Termination Start Date: 2024-06-27 Country: United States Entity: us-media-2b500bd73333018cd8a7f91fd7be887a46080fbd Reason: 441 IAC 79.2(2)(f)(k)(m)(s)(v) Source URL: https://hhs.iowa.gov/programs/welcome-iowa-medicaid/provider-services/excluded-individuals-and-entities