Kenneth Russell Waller III, DVM, MS
NPI 1841546959ActiveIndividual· Veterinarian· Madison, WI
Veterinarian (DVM, MS) in Madison, Wisconsin, licensed in WI, IA and IL, with an NPI issued in July 2012.
Overview
| NPI | 1841546959 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DVM, MS |
| Sole proprietor | No |
| NPI issued | Jul 25, 2012 |
| Last updated in NPPES | Jul 25, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Veterinarian Primary | 174M00000X | 6054 | WI |
| Veterinarian | 174M00000X | 7379 | IA |
| Veterinarian | 174M00000X | 090010797 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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