KENNETH J. WAKEFIELD M.D. – NPI #1306832688
Allergy & Immunology

A physician who specializes in the diagnosis, treatment, and management of allergies.

KENNETH WAKEFIELD is an allergy & immunologist located in COEUR D'ALENE, ID. NPPES has assigned the NPI number 1306832688 to KENNETH WAKEFIELD on September 22, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207KA0200X from the Health Care Provider Taxonomy code set, which is classified as Allergy & Immunology, specializing in Allergy

The NPI profile was previously updated about 18 years ago on Feb 13, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KENNETH WAKEFIELD below.

NPI Profile for
KENNETH J. WAKEFIELD

NPI Number
1306832688
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KENNETH J. WAKEFIELD
Credentials
M.D.
Primary location
3731 N RAMSEY RD
SUITE 150
COEUR D'ALENE, ID 83815-9000
Phone: (208) 665-1552 Fax: (208) 665-1558
Mailing address
4304 N 16TH ST
COEUR D ALENE, ID 83815-9414
Phone: (208) 664-3576 Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207KA0200X
- Allergy & Immunology / Allergy (Primary)
ID M-9596

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.