Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kenneth Russell Waller III, DVM, MS

Individual provider Veterinarian · NPI 1841546959

Dr. Kenneth Russell Waller III, DVM, MS is a Veterinarian in Madison, Wisconsin. Licensed in Iowa, Illinois and Wisconsin. Registered with an NPI since 2012.

Licensed in
IA, IL, WI
In the registry since
2012
Specialties on file
3
What do these letters mean?
DVM — Doctor of Veterinary Medicine
A veterinarian.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

2015 Linden Dr Rm 2058
Madison, WI 53706-1100
Phone: (608) 263-7656
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Veterinarian (primary) Taxonomy 174M00000X · Licence 6054 (WI)
Veterinarian Taxonomy 174M00000X · Licence 7379 (IA)
Veterinarian Taxonomy 174M00000X · Licence 090010797 (IL)

Record details

NPI number1841546959
Entity typeIndividual (Type 1)
GenderMale
Credentials DVM , MS
Sole proprietorNo
NPI enumeratedJuly 25, 2012
Last updated in NPPESJuly 25, 2012

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