NPI 1841546959

Kenneth Russell Waller, DVMMS

Practitioner Veterinarian Madison, WI

Practice location

Address: 2015 Linden Dr Room 2058, Madison, WI 53706-1100
Phone: (608) 263-7656

Registered specialties (3)

Veterinarian Primary

Other Service Providers Taxonomy 174M00000X Licence 6054 (WI)

Other Veterinarian providers in Wisconsin →

Veterinarian

Other Service Providers Taxonomy 174M00000X Licence 7379 (IA)

Veterinarian

Other Service Providers Taxonomy 174M00000X Licence 090010797 (IL)

Registry record

NPI: 1841546959
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Jul 2012
Record last updated: 25 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.