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KS Facility/Provider Initial and Re-credentialing Application ATTACHMENTS NEEDED please include with your completed application the following items for each location. ? W-9 Form completed, signed

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What is ks facilityprovider - initial?

The ks facilityprovider - initial is a form that needs to be filled out to provide information about the facility provider in Kansas.

Who is required to file ks facilityprovider - initial?

All facility providers in Kansas are required to file ks facilityprovider - initial.

How to fill out ks facilityprovider - initial?

To fill out ks facilityprovider - initial, you need to provide accurate information about the facility provider, such as their name, address, contact information, and other relevant details.

What is the purpose of ks facilityprovider - initial?

The purpose of ks facilityprovider - initial is to gather information about facility providers in Kansas and ensure compliance with regulations.

What information must be reported on ks facilityprovider - initial?

On ks facilityprovider - initial, you must report information such as the facility provider's name, address, contact details, licensing information, and any additional required information as specified in the form.

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