P Praxis·MD
● Active Type 1 · Individual

DR. Kenneth John Wakefield, M.D.

Allergy & Immunology·Coeur D Alene, ID· NPI 1306832688 · Enumerated 2005 · 20 years on NPI
Wakefield is 1 of 1 allergy & immunology providers in Coeur D Alene and 1 of 10 in Idaho.
NPI age
20 years
Enumerated 2005-09-22
Primary specialty
Allergy & Immunology
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-02-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 10 active allergy & immunology providers in Idaho.

NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
40% of peers hold multiple states
Subspecialties
0
50% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-09Enumerated in NPPES
2005 2026

Where they practice

Practice location
3731 N Ramsey Rd, Suite 150
Coeur D Alene, ID 838159000
📞 2086651552fax 2086651558
Mailing address
4304 N 16th St
Coeur D Alene, ID 838159414
📞 2086643576

Specialties

  • Allergy & Immunology Primary
    A physician who specializes in the diagnosis, treatment, and management of allergies.
    ID license #M-9596 taxonomy 207KA0200X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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