SearchIdaho207KA0200X

Kenneth Wakefield, M.D

NPI 1306832688 · on the registry since 2005

Practice

Address
3731 N Ramsey Rd
Suite 150
Coeur D Alene, ID 83815
Phone
(208) 665-1552
Fax
(208) 665-1558

Registry record

Primary taxonomy
207KA0200X
207KA0200X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-02-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho