National Provider Identifier Database

KENNETH R WALLER III, DVM, MS – NPI #1841546959
Veterinarian

A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery.


Contact Information

KENNETH R WALLER III, DVM, MS
2015 LINDEN DR
ROOM 2058
MADISON, WI53706-1100
Phone: 608-263-7656
Fax:
Website:
Specialty Taxonomy Code
* Veterinarian 174M00000X

* Indicates primary specialty

NPI Profile & details for KENNETH R WALLER III

NPI Number 1841546959
Credentials DVM, MS
Entity Individual
Enumeration date 07/25/2012
Last updated 07/25/2012 - About 14 years ago
Sole proprietor1 No
Identifiers
  • IA License #: 7379
  • IL License #: 090010797
  • WI License #: 6054
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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