Wakeham, Kevin M.

Wakeham, Kevin M. is an individual health care provider with primary practice located at 767 Boston Post Rd , Old Saybrook CT 06475-2127. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Wakeham, Kevin M. can be contacted via phone (860) 388-2641.

Contact Information

Primary practice address
767 Boston Post Rd Old Saybrook CT 06475-2127
Phone: (860) 388-2641
Fax: (860) 395-2928
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 000317 Connecticut

Profile Details

NPI number 1992834295
LBN Legal business name Wakeham, Kevin M.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2007
Last updated Oct 1st, 2007 - 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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