Individual
DR. KENNETH H WALDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH. D.
Contact information
Practice address
6702 STONEFIELD ROAD, MIDDLETON, WI 53562
(608) 836-5529
(608) 836-8059
Mailing address
2765 EVERGREEN DRIVE, CAMBRIDGE, WI 53523
(608) 423-3707
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1774054
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39104500
—
WI
Enumeration date
08/19/2006
Last updated
07/08/2007
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