Kenneth William Waller in Hampton - Spinal Cord Injury Medicine
Kenneth William Waller - NPI 1518921238
Kenneth William Waller is a Spinal Cord Injury Medicine in Hampton, Virginia. Kenneth William Waller practices all healthcare services and medical treatments related to Spinal Cord Injury Medicine. The NPI Number for Kenneth William Waller is 1518921238. The last update date is 2007-07-08.
Kenneth William Waller's current location address is 100 Emancipation Dr, Hampton, Virginia. You can contact this provider via phone number 7577229961 and fax number 7577266078. The mailing address for Kenneth William Waller is 100 Emancipation Dr, Hampton, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth William Waller |
|---|---|
| Address | 100 Emancipation Dr, Hampton, Virginia |
| Phone Number | 7577229961 |
| Fax Number | 7577266078 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1518921238 |
|---|---|
| Provider Enumeration Date | 2006-04-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 100 Emancipation Dr |
|---|---|
| City | Hampton |
| State | Virginia (VA) |
| Post Code | 236670001 |
| Phone Number | 7577229961 |
| Fax Number | 7577266078 |
Provider's Primary Taxonomy Detail
| Speciality | Spinal Cord Injury Medicine |
|---|---|
| Taxonomy | 2081P0004X |
| Licence No | 101040108 |
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Definition: A physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kenneth William Waller by the Centers for Medicare & Medicaid Services?
The Kenneth William Waller has been assigned the NPI (National Provider Identifier) 1518921238 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Kenneth William Waller?
The Kenneth William Waller is situated at 100 Emancipation Dr, in the city of Hampton, state of VA, with the zip code 236670001.
What is Kenneth William Waller's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kenneth William Waller is Spinal Cord Injury Medicine, and the corresponding taxonomy classification code for this specialized field is 2081P0004X.
On what date was the 1518921238 assigned to Kenneth William Waller?
The Kenneth William Waller was issued its 1518921238 on 2006-04-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Kenneth William Waller most recently updated or revised?
The details related to Kenneth William Waller, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.