Dike Kenneth

NPI #1881076560 in Stoughton, Massachusetts

Provider Information

NPI Number
1881076560
Entity Type
Organization
Organization Name
Dike Kenneth
Primary Specialty
Point of Service
Enumeration Date
Jun 18, 2015
Last Updated
Jun 18, 2015

Practice Location

Address
15 BERGERON WAY
ZIP Code
02072-1392
Phone
(508) 631-8222

Authorized Official

Name
KENNETH DAVID DIKE, LPN
Title
LPN
Phone
(508) 631-8222

Specialties & Taxonomy Codes

Specialty
Point of Service

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