DR. Kenneth John Wakefield, M.D.
NPI #1306832688 in Coeur D Alene, Idaho
Provider Information
- NPI Number
- 1306832688
- Entity Type
- Individual
- Name
- DR. Kenneth John Wakefield, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Allergy & Immunology - Allergy
- Credential
- M.D.
- Enumeration Date
- Sep 22, 2005
- Last Updated
- Feb 13, 2008
Practice Location
- Address
- 3731 N RAMSEY RD
- Address 2
- SUITE 150
- City
- Coeur D Alene
- State
- Idaho
- ZIP Code
- 83815-9000
- Phone
- (208) 665-1552
Specialties & Taxonomy Codes
| Specialty |
|---|
| Allergy & Immunology - Allergy — Allergy |
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