Individual
BRYAN WAKEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-6112
(469) 438-1808
Mailing address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-8501
(469) 438-1808
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
04-49750
KS
Other
Enumeration date
03/28/2017
Last updated
08/09/2024
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