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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KATHLEEN ANNE HANNIFAN, M.D

Active

KATHLEEN ANNE HANNIFAN, M.D is a Pediatrics healthcare provider located in FORT COLLINS, Colorado. NPI 1114037389 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · FORT COLLINS, CO

Registration Details

NPI Number
1114037389
Provider Type
Individual
Gender
Female
NPI Issued
Aug 30, 2006 (19.99767602403 yrs)
Last Updated
Jul 16, 2014
Licenses
ML20008677 (WA)
8131A (WY)
8131A (WY)
0051721 (CO)

Practice Information

Address
1200 E ELIZABETH ST
THE YOUTH CLINIC
FORT COLLINS, CO, 805244007
Browse CO providers · Browse ZIP 80524
Phone
9792679510
Primary Specialty
Pediatrics
208000000X
Additional Specialty
Pediatrics
Additional Specialty
Pediatrics

Other Pediatrics Providers in FORT COLLINS, CO

Name Credential NPI
JOHN P. GUENTHER M.D. 1184695892
JAMES G. MCGINNIS M.D. 1447221155
VAUGHN W. HANSON M.D. 1184695637
JULIE M. BROCKWAY M.D. 1013988575
ELIZABETH A. BALLARD M.D. 1336111541
CAROLE MICHELE ANDERSON D.O. 1992732150
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.