Provider Demographics
NPI:1497432892
Name:KANGETHE, DORCAS WANGARI
Entity Type:Individual
Prefix:
First Name:DORCAS
Middle Name:WANGARI
Last Name:KANGETHE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 NICHOLS DR
Mailing Address - Street 2:
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-4367
Mailing Address - Country:US
Mailing Address - Phone:781-308-5950
Mailing Address - Fax:
Practice Address - Street 1:85 NICHOLS DR
Practice Address - Street 2:
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-4367
Practice Address - Country:US
Practice Address - Phone:781-308-5950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-28
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2328860163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health