KENNETH JOHN WAKEFIELD

COEUR D ALENE, ID
NPI1306832688
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207KA0200X Allergy & Immunology, Allergy
(Licence: ID  M-9596)
Enumeration Date2005-09-22
Last Update Date2008-02-13
Business Address
Dr. KENNETH JOHN WAKEFIELD M.D.
3731 N RAMSEY RD SUITE 150
COEUR D ALENE, ID 83815-9000
Phone number: 208-665-1552
Mailing Address
Dr. KENNETH JOHN WAKEFIELD M.D.
4304 N 16TH ST
COEUR D ALENE, ID 83815-9414
Phone number: 208-664-3576