Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH JOHN WAKEFIELD, M.D.
ActiveDR. KENNETH JOHN WAKEFIELD, M.D. is a Allergy healthcare provider located in COEUR D ALENE, Idaho. NPI 1306832688 is currently active in the NPPES registry. Verify at CMS.
Allergy · COEUR D ALENE, ID
Registration Details
- NPI Number
- 1306832688
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 22, 2005 (20.891816539898 yrs)
- Last Updated
- Feb 13, 2008
- License
-
M-9596 (ID)
Practice Information
- Address
-
3731 N RAMSEY RDSUITE 150COEUR D ALENE, ID, 838159000Browse ID providers · Browse ZIP 83815
- Phone
- 2086651552
- Fax
- 2086651558
- Primary Specialty
-
Allergy
207KA0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.