DR. KENNETH RUSSELL WALLER DVM MS NPI 1841546959

NPI Information

NPI: 1841546959
Provider Name: DR. KENNETH RUSSELL WALLER, DVM, MS
Classification: Veterinarian - 174M00000X
Entity Type: Individual
Address:
2015 LINDEN DR
ROOM 2058
MADISON, WI
ZIP 53706
Phone: (608) 263-7656
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DR. Kenneth Russell Waller, DVM, MS is a veterinarian in Madison, WI. The provider is a doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. DR. Kenneth Russell Waller, DVM, MS NPI is 1841546959. 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:

2015 LINDEN DR
ROOM 2058
MADISON, WI
ZIP 53706-100
Phone: (608) 263-7656

The enumeration date for this NPI number is 7/25/2012 and was last updated on 7/25/2012.

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	License Number	License State	Primary
1	174M00000X	Veterinarian	7379	IOWA	No
2	174M00000X	Veterinarian	090010797	ILLINOIS	No
3	174M00000X	Veterinarian	6054	WISCONSIN	Yes

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: 4/28/2024

NPI Synchronization or Removal

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