Dr Kenneth John Wakefield, MD - Allergy & Immunology in Coeur D Alene, ID

Dr Kenneth John Wakefield, MD is a Allergy & Immunology - Allergy physician based in Coeur D Alene, Idaho. Dr Kenneth John Wakefield is licensed to practice in Idaho (license number M-9596) and his current practice location is 3731 N Ramsey Rd, Suite 150, Coeur D Alene, Idaho. He can be reached at his office (for appointments etc.) via phone at (208) 665-1552.

NPI number for Dr Kenneth John Wakefield is 1306832688 and his current mailing address is 4304 N 16th St, Coeur D Alene, Idaho. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306832688.

Contact Information

Dr Kenneth John Wakefield, MD
3731 N Ramsey Rd, Suite 150,
Coeur D Alene, ID 83815-9000
(208) 665-1552
(208) 665-1558



Physician's Profile

Full NameDr Kenneth John Wakefield
GenderMale
SpecialityAllergy & Immunology - Allergy
Location3731 N Ramsey Rd, Coeur D Alene, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1306832688
  • Provider Enumeration Date: 09/22/2005
  • Last Update Date: 02/13/2008

Medical Identifiers

Medical identifiers for Dr Kenneth John Wakefield such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306832688NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207KA0200XAllergy & Immunology - Allergy M-9596 (Idaho)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kenneth John Wakefield is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kenneth John Wakefield, MD
4304 N 16th St,
Coeur D Alene, ID 83815-9414

Ph: (208) 664-3576
Dr Kenneth John Wakefield, MD
3731 N Ramsey Rd, Suite 150,
Coeur D Alene, ID 83815-9000

Ph: (208) 665-1552

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Allergy & Immunology Doctors in Coeur D Alene, ID


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