DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KENNETH WILLIAM WALLER, M.D.

Active

DR. KENNETH WILLIAM WALLER, M.D. is a Spinal Cord Injury Medicine healthcare provider located in HAMPTON, Virginia. NPI 1518921238 is currently active in the NPPES registry. Verify at CMS.

Spinal Cord Injury Medicine · HAMPTON, VA

Registration Details

NPI Number
1518921238
Provider Type
Individual
Gender
Male
NPI Issued
Apr 12, 2006 (20.157691540219 yrs)
Last Updated
Sep 11, 2025
Licenses
0101040108 (VA)
0101040108 (VA)

Practice Information

Address
100 EMANCIPATION DR
HAMPTON, VA, 236670001
Browse VA providers · Browse ZIP 23667
Phone
7577229961
Fax
7577266078
Primary Specialty
Spinal Cord Injury Medicine
2081P0004X
Additional Specialty
Neurology

Other Spinal Cord Injury Medicine Providers in HAMPTON, VA

Name Credential NPI
DR. LAURIE LINDBLOM M.D. 1154382547
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.