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Dr. Kenneth William Waller, MD
Neurology Physician in Hampton, Virginia
NPI 1518921238

Kenneth William Waller is a Neurology Physician based in Hampton, VA and is specialized in Neurology. Kenneth William Waller practices in Hampton, VA and has the professional credentials of MD. The NPI Number for Kenneth William Waller is 1518921238 and holds a License No. 0101040108 (Virginia).

The current practice location address for Kenneth William Waller is 100 Emancipation Dr, Hampton, VA and can be reached out via phone at 757-722-9961 and via fax at 757-726-6078. You can also correspond with Kenneth William Waller through the mailing address at 100 EMANCIPATION DR, HAMPTON, VA - 23667-0001 (mailing address contact number: 757-722-9961).

Location: 100 Emancipation Dr, Hampton, VA, 23667-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518921238
Provider Name
Kenneth William Waller
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
100 Emancipation Dr, Hampton, VA, 23667-0001
Phone Number
757-722-9961
Fax Number
757-726-6078
Provider Enumeration Date
04/12/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
100 Emancipation Dr
City
Hampton
State
Virginia
Zip
23667-0001
Phone Number
757-722-9961
Fax Number
757-726-6078
person
Provider Business Mailing Address Details
Address
100 Emancipation Dr
City
Hampton
State
Virginia
Zip
23667-0001
Phone Number
757-722-9961
Fax Number
757-726-6078
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Physical Medicine & Rehabilitation
Speciality
Spinal Cord Injury Medicine
Taxonomy
2081P0004X
License No.
0101040108 (Virginia)
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 on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
0101040108 (Virginia)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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