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DR. KENNETH WILLIAM WALLER M.D. NPI 1518921238


NPI Information

NPI: 1518921238
Provider Name: DR. KENNETH WILLIAM WALLER, M.D.
Classification: Physical Medicine & Rehabilitation - 2081P0004X
Entity Type: Individual

Specialization: Spinal Cord Injury Medicine

PECOS Registration: Yes

Address:
100 EMANCIPATION DR
HAMPTON, VA
ZIP 23667
Phone: (757) 722-9961
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DR. Kenneth William Waller, M.D. is a spinal cord injury medicine physical medicine rehabilitation in Hampton, VA. The provider is a physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications. DR. Kenneth William Waller, M.D. NPI is 1518921238. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 EMANCIPATION DR
HAMPTON, VA
ZIP 23667-001
Phone: (757) 722-9961
Fax: (757) 726-6078

The NPI 1518921238 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/12/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12081P0004XPhysical Medicine & RehabilitationSpinal Cord Injury Medicine0101040108VIRGINIAYes
22084N0400XPsychiatry & NeurologyNeurology0101040108VIRGINIAX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.