National Provider Identifier

Kenneth Wakwe

Kenneth Wakwe is listed in the NPPES registry with a primary specialty of Physician Assistant in Boston, MA and a listed phone number of (617) 414-5481.

NPI 1285284877Boston, MAPhysician Assistant

Source: public NPPES record, last updated October 30, 2019. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1285284877
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
September 16, 2019
Last Updated
October 30, 2019

Practice Location

  • 1 Boston Medical Ctr Pl
  • Boston, MA 02118-2908

Phone: (617) 414-5481

Specialties

  • Physician Assistant (363A00000X)

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Biography

Kenneth N. Wakwe, PA-C, is an emergency medicine physician assistant at Boston Medical Center. He also serves as a physician assistant member of the Massachusetts Board of Registration of Physician Assistants, the state body responsible for PA licensure and oversight.

Full Record
NPI
1285284877
Entity Type
Individual
Last Name
Wakwe
First Name
Kenneth
Mailing Street Address
1 Boston Medical Ctr Pl
Mailing City
Boston
Mailing State
MA
Mailing ZIP Code
02118-2908
Mailing Country
US
Practice Street Address
1 Boston Medical Ctr Pl
Practice City
Boston
Practice State
MA
Practice ZIP Code
02118-2908
Practice Country
US
Practice Phone
(617) 414-5481
Enumeration Date
September 16, 2019
Last Updated
October 30, 2019
Sex
Male
Sole Proprietor
No
Taxonomies
Physician Assistant (363A00000X)