Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KATHLENE SUE WALLER, M.D.
ActiveDR. KATHLENE SUE WALLER, M.D. is a Adolescent Medicine (Pediatrics) healthcare provider located in FORT COLLINS, Colorado. NPI 1023027778 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine (Pediatrics) · FORT COLLINS, CO
Registration Details
- NPI Number
- 1023027778
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 5, 2006 (20.055090914545 yrs)
- Last Updated
- Jul 8, 2007
- License
-
30233 (CO)
Practice Information
- Address
-
HARTSHORN HEALTH SERVICECOLORADO STATE UNIVERSITYFORT COLLINS, CO, 805238031Browse CO providers · Browse ZIP 80523
- Phone
- 9704917121
- Fax
- 9704910226
- Primary Specialty
-
Adolescent Medicine (Pediatrics)
2080A0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.