Dr Kenneth John Wakefield, MD is a
Allergy & Immunology - Allergy physician based in Coeur D Alene, Idaho. Dr Kenneth John Wakefield is licensed to practice in Idaho (license number M-9596) and his current practice location is 3731 N Ramsey Rd, Suite 150, Coeur D Alene, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 665-1552.
NPI number for Dr Kenneth John Wakefield is 1306832688 and his current mailing address is 4304 N 16th St, Coeur D Alene, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306832688.
Physician's Profile
| Full Name | Dr Kenneth John Wakefield |
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| Gender | Male |
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| Speciality | Allergy & Immunology - Allergy |
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| Location | 3731 N Ramsey Rd, Coeur D Alene, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1306832688
- Provider Enumeration Date: 09/22/2005
- Last Update Date: 02/13/2008
Medical Identifiers
Medical identifiers for Dr Kenneth John Wakefield such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306832688 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207KA0200X | Allergy & Immunology - Allergy | M-9596 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kenneth John Wakefield is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| 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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