Provider Demographics
NPI:1760161244
Name:NJOROGE, KENNETH MWANGI (RN)
Entity Type:Individual
Prefix:MR
First Name:KENNETH
Middle Name:MWANGI
Last Name:NJOROGE
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1546 FENMORE ST
Mailing Address - Street 2:
Mailing Address - City:LITHIA SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30122-6863
Mailing Address - Country:US
Mailing Address - Phone:678-368-1098
Mailing Address - Fax:
Practice Address - Street 1:1546 FENMORE ST
Practice Address - Street 2:
Practice Address - City:LITHIA SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30122-6863
Practice Address - Country:US
Practice Address - Phone:678-368-1098
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-13
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN301224163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse