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
State
Idaho
ZIP Code
83815-9000
Phone
(208) 665-1552

Specialties & Taxonomy Codes

Specialty
Allergy & Immunology - AllergyAllergy

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