Wakefield, Kenneth John
Wakefield, Kenneth John is an individual health care provider with primary practice located at 3731 N Ramsey Rd Suite 150, Coeur D Alene ID 83815-9000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Wakefield, Kenneth John can be contacted via phone (208) 665-1552.Contact Information
Primary practice address
3731 N Ramsey Rd Suite 150
Coeur D Alene ID 83815-9000
Phone: (208) 665-1552
Fax: (208) 665-1558
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | M-9596 | Idaho |
Profile Details
| NPI number | 1306832688 |
|---|---|
| LBN Legal business name | Wakefield, Kenneth John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2005 |
| Last updated | Feb 13th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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