Dr Kenneth John Wakefield, MD | |
3731 N Ramsey Rd, Suite 150, Coeur D Alene, ID 83815-9000 | |
(208) 665-1552 | |
(208) 665-1558 |
Full Name | Dr Kenneth John Wakefield |
---|---|
Gender | Male |
Speciality | Allergy & Immunology - Allergy |
Location | 3731 N Ramsey Rd, Coeur D Alene, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306832688 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207KA0200X | Allergy & Immunology - Allergy | M-9596 (Idaho) | Primary |
Mailing Address | Practice 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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