Individual
DR. KEVIN M. WAKEHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
767 BOSTON POST RD, OLD SAYBROOK, CT 06475-2127
(860) 388-2641
(860) 395-2928
Mailing address
767 BOSTON POST RD, OLD SAYBROOK, CT 06475-2127
(860) 388-2641
(860) 395-2928
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000317
CT
Other
Enumeration date
03/04/2007
Last updated
10/01/2007
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