NPI 1114037389

Kathleen Anne Hannifan, MD

Practitioner Pediatrics Physician Fort Collins, CO

Practice location

Address: 1200 E Elizabeth St The Youth Clinic, Fort Collins, CO 80524-4007
Phone: (979) 267-9510

Registered specialties (4)

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 8131A (WY)

Other Pediatrics providers in Colorado →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence ML20008677 (WA)

Pediatric Adolescent Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 2080A0000X Licence 8131A (WY)

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 0051721 (CO)

Registry record

NPI: 1114037389
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Aug 2006
Record last updated: 16 Jul 2014

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.