Kathlene Sue Waller M.D.

NPI 1023027778 - Pediatrics - 2080A0000X

NPI Details
NPI 1023027778
Gender Female
Enumeration Date 08/05/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
HARTSHORN HEALTH SERVICE
COLORADO STATE UNIVERSITY
FORT COLLINS CO, 80523-8031, US
Phone (970) 491-7121
Fax (970) 491-0226
Business Location
HARTSHORN HEALTH SERVICE
COLORADO STATE UNIVERSITY
FORT COLLINS CO, 80523-8031, US
Phone (970) 491-7121
Fax (970) 491-0226
Toxanomy
Taxonomy Code 2080A0000X
License State Colorado
License Number 30233
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According to our database, Dr. Kathlene Sue Waller M.D. NPI is 1023027778, taxonomy code is 2080A0000X and license number is 30233, license state is located at Colorado. Kathlene Sue Waller M.D. physically located at Hartshorn Health Service, Fort Collins CO, 80523-8031. NPI Number Kathlene Sue Waller M.D. has the Individual type.

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1023027778 NPI number is provided on an as is basis without warranty of any kind. 1023027778 is maintained by the National Plan & Provider Enumeration System. The contents of Kathlene Sue Waller M.D. are for informational purposes only.