Individual provider · Type 1 NPI

Kenneth Russell Waller Iii, DVM, MS

Veterinarian · Madison, WI

NPI number 1841546959 Active

Practice location

2015 Linden Dr, Room 2058
Madison, WI 53706-1100

Call (608) 263-7656 Map

Specialties and licenses

TaxonomyCodeLicense
Veterinarian Primary 174M00000X6054 (WI)
Veterinarian 174M00000X7379 (IA)
Veterinarian 174M00000X090010797 (IL)

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

4 other providers at this address

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About NPI 1841546959

Kenneth Russell Waller Iii, DVM, MS's National Provider Identifier is 1841546959, issued on Jul 25, 2012. The primary taxonomy on file is Veterinarian (174M00000X), and the practice location is in Madison, WI. The record was last updated on Jul 25, 2012.