Dr. Kathlene Sue Waller
Adolescent Medicine
Hartshorn Health Service Colorado State University
Fort Collins
, Colorado 80523-8031
Dr. Kathlene Sue Waller
Adolescent Medicine
Hartshorn Health Service Colorado State University
Fort Collins
, Colorado 80523-8031
(970) 491-0226
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Dr. Kathlene Sue Waller
- Hartshorn Health Service Colorado State University
- Fort Collins, CO
- Zip : 80523-8031
- Fax : (970) 491-0226
- Phone : (970) 491-7121
Second Address
- Dr. Kathlene Sue Waller
- Hartshorn Health Service Colorado State University
- Fort Collins, CO
- Zip : 80523-8031
- Fax : (970) 491-0226
- Phone : (970) 491-7121
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | 30233 | CO |
National Provider Identifier
| NPI | 1023027778 |
|---|---|
| Provider Name | Dr. Kathlene Sue Waller |
| First Address | Fort Collins, CO 80523-8031 |
| Second Address | Fort Collins, CO 80523-8031 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/08/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.