Dr. Kathlene Sue Waller
M.D. | Pediatric Adolescent Medicine | Female
Dr. Kathlene Sue Waller, M.D. is a Fort Collins, Colorado based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Kathlene Sue Waller is
Hartshorn Health Service, Colorado State University, Fort Collins, Colorado - 80523-8031. She can be contacted on phone at
970-491-7121 and fax number 970-491-0226.
Dr. Kathlene Sue Waller is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Kathlene Sue Waller is
1023027778 which was assigned by NPPES on 05 Aug, 2006 and it was last updated on 08 Jul, 2007.
Dr. Kathlene Sue Waller license number is
30233 for Pediatrics Adolescent Medicine (2080A0000X) in Colorado.
Dr. Kathlene Sue Waller specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Kathlene Sue Waller basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Dr. Kathlene Sue Waller |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Kathlene Sue Waller address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | Hartshorn Health Service, Colorado State University
Fort Collins, CO, 80523-8031
United States |
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| Phone Number : | 970-491-7121 |
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| Fax Number : | 970-491-0226 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1023027778 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 05 Aug, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kathlene Sue Waller are as mentioned. Primary taxonomy code for Dr. Kathlene Sue Waller, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 30233 | CO |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Hartshorn Health Service, Colorado State University
Fort Collins, CO, 80523-8031
United States |
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| Phone Number : | 970-491-7121 |
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| Fax Number : | 970-491-0226 |
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Business Location:
Patients can refer following map for directions to
Dr. Kathlene Sue Waller practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.