NPI 1023027778

Kathlene Sue Waller, MD

Practitioner Pediatric Adolescent Medicine Physician Fort Collins, CO

Practice location

Address: Hartshorn Health Service Colorado State University, Fort Collins, CO 80523-8031
Phone: (970) 491-7121
Fax: (970) 491-0226

Registered specialties

Pediatric Adolescent Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2080A0000X Licence 30233 (CO)

Other Pediatrics providers in Colorado →

Registry record

NPI: 1023027778
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Aug 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.