DR. KENNETH JOHN WAKEFIELD (NPI# 1306832688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306832688 |
| Entity Type | Individual |
| Full Name | DR. KENNETH JOHN WAKEFIELD |
| Credential | M.D. |
| Practice Address |
3731 N Ramsey Rd Suite 150 Coeur D Alene ID 83815-9000 |
| Mailing Address |
4304 N 16th St Coeur D Alene ID 83815-9414 |
| Practice Telephone | 2086651552 |
| Practice Fax Number | 2086651558 |
| Mailing Telephone | 2086643576 |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2008-02-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
M-9596 | ID | Allopathic & Osteopathic Physicians |
| Street Address |
3731 N RAMSEY RD SUITE 150 |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83815-9000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750344834 | Jennifer A Watson | Nurse Practitioner | 3731 N Ramsey Rd, Suite 150, Coeur D Alene, ID 83815-9000 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790133163 | Christine Lee Stanton | Speech-Language Pathologist | 3825 N. Blalock Drive, Coeur D'alene, ID 83815 | 2016-05-26 |
| 1578921961 | Kayla Wearne | Speech-Language Pathologist | 917 W Canfield Avenue, Coeur D'alene, ID 83815 | 2016-02-01 |
| 1770954794 | William Strong | Speech-Language Pathologist | 3902 Broken Arrow Rd, Coeur D Alene, ID 83815 | 2015-10-16 |
| 1235517079 | Denny Bordeaux | Emergency Medical Technician, Paramedic | 7294 Downing Lane, Coeur D Alene, ID 83815 | 2015-05-13 |
| 1689075657 | Barbara Campbell | Pharmacist | W 201 Neider Rd., Coeur D'alene, ID 83815 | 2014-09-10 |
| 1710313671 | Sean Cooper | Pharmacist | W. 201 Neider Rd., Coeur D' Alene, ID 83815 | 2013-09-23 |
| 1275871329 | Lake City Dental | Dentist | 6176 Government Way, Coeur D'alene, ID 83815 | 2013-01-24 |
| 1881972701 | A Better Personal Care Inc | In Home Supportive Care | 3115 N Government Way Ste 2, Coeur D'alene, ID 83815 | 2011-07-26 |
| 1013206895 | Robert Sperry | Pharmacist | 41650 W Maricopacg Hwy., Maricopa, AZ 83815 | 2011-04-01 |
| 1629304670 | Marciea W. Buckley | Social Worker | 109 Harrison Ave, Coeur D' Alene, ID 83815 | 2009-10-27 |
| Find all providers in zip 83815 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477866606 | Idaho Allergy L.L.C. | Allergy & Immunology | 379 E Shore Dr, Suite 100, Eagle, ID 83616-5410 | 2010-07-16 |
| 1073834974 | Dallas George Rindfleisch | Allergy & Immunology | 3155 Channing Way Ste A, Idaho Falls, ID 83404-7875 | 2010-06-15 |
| 1538108089 | Kathryn L Mcmullan | Allergy & Immunology | 323 E Riverside Dr, Ste 234, Eagle, ID 83616-6864 | 2006-06-06 |
| 1306831045 | Gregory John Kadlec | Allergy & Immunology | 800 Falls Ave, Suite 2, Twin Falls, ID 83301-3366 | 2005-09-20 |
| 1124462494 | Upper Valley Ent & Allergy Pllc | Allergy & Immunology | 256 N 2nd E, Rexburg, ID 83440-1638 | 2013-04-17 |
| 1376877795 | David Aaron Petty | Allergy & Immunology | 3422 S 15th E, Idaho Falls, ID 83404-8262 | 2009-10-01 |
| 1447456272 | Barry John Peterson | Allergy & Immunology | 256 N 2nd E, Rexburg, ID 83440-1638 | 2007-06-27 |
| 1427138734 | Asthma & Allergy of Idaho Pllc | Allergy & Immunology | 800 Falls Ave, Suite 2, Twin Falls, ID 83301 | 2006-10-17 |
| 1972537892 | Jay Robert Mcmaster | Allergy & Immunology | 256 N 2nd E, Rexburg, ID 83440-1638 | 2006-07-10 |
| 1295769594 | David E Parry | Allergy & Immunology | 500 S 11th Ave, Suite 202, Pocatello, ID 83201-4835 | 2006-07-10 |
| Find all providers with the same taxonomy | ||||
| City | COEUR D ALENE |
| Zip Code | 83815 |
Please comment or provide details below to improve the information on DR. KENNETH JOHN WAKEFIELD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.