Provider Demographics
NPI:1306644455
Name:UKOHA, DORCAS NNENNA
Entity type:Individual
Prefix:
First Name:DORCAS
Middle Name:NNENNA
Last Name:UKOHA
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 1:2112 S COOPER ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67207-5836
Mailing Address - Country:US
Mailing Address - Phone:316-847-3146
Mailing Address - Fax:
Practice Address - Street 1:2112 S COOPER ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67207-5836
Practice Address - Country:US
Practice Address - Phone:316-847-3146
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-05
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13-140660-112163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical