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 1:848 N SAINT FRANCIS AVE STE 3901
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67214-3858
Mailing Address - Country:US
Mailing Address - Phone:316-268-7030
Mailing Address - Fax:
Practice Address - Street 1:848 N SAINT FRANCIS AVE STE 3901
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-3858
Practice Address - Country:US
Practice Address - Phone:316-268-7030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-05
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13-140660-112163WM0705X
KS53-84176363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical