person
Dr. Kenneth John Wakefield, MD
Allergy Physician in Coeur D Alene, Idaho
NPI 1306832688

Kenneth John Wakefield is an Allergy Physician based in Coeur D Alene, ID and is specialized in Allergy. Kenneth John Wakefield practices in Coeur D Alene, ID and has the professional credentials of MD. The NPI Number for Kenneth John Wakefield is 1306832688 and holds a License No. M-9596 (Idaho).

The current practice location address for Kenneth John Wakefield is 3731 N Ramsey Rd, Coeur D Alene, ID and can be reached out via phone at 208-665-1552 and via fax at 208-665-1558.

Location: 3731 N Ramsey Rd, Coeur D Alene, ID, 83815-9414
person
Provider Profile Details
NPI Number
1306832688
Provider Name
Kenneth John Wakefield
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3731 N Ramsey Rd, Coeur D Alene, ID, 83815-9414
Phone Number
208-665-1552
Fax Number
208-665-1558
Provider Enumeration Date
09/22/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3731 N Ramsey Rd
City
State
Zip
83815-9000
Phone Number
208-665-1552
Fax Number
208-665-1558
person
Provider Business Mailing Address Details
Address
3731 N Ramsey Rd
City
State
Zip
83815-9000
Phone Number
208-665-1552
Fax Number
208-665-1558
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Allergy & Immunology
Speciality
Allergy
Taxonomy
License No.
M-9596 (Idaho)
Definition
Definition to come...
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