Organization
DIKE KENNETH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH DAVID DIKE LPN (LPN)
(508) 631-8222
Entity
Organization
Contact information
Practice address
15 BERGERON WAY, STOUGHTON, MA 02072-1392
(508) 631-8222
Mailing address
15 BERGERON WAY, STOUGHTON, MA 02072
(617) 967-2115
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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