DR. Kathlene Sue Waller, M.D.

NPI #1023027778 in Fort Collins, Colorado

Provider Information

NPI Number: 1023027778
Entity Type: Individual
Name: DR. Kathlene Sue Waller, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics - Adolescent Medicine
Credential: M.D.
Enumeration Date: Aug 5, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: HARTSHORN HEALTH SERVICE
Address 2: COLORADO STATE UNIVERSITY
City: Fort Collins
State: Colorado
ZIP Code: 80523-8031
Phone: (970) 491-7121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics - Adolescent Medicine — Adolescent Medicine	2080A0000X	Primary

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Organizations

Provider Name	Specialty	City
Rocky Mountain Youth Medical and Nursing Consultants, INC Part of Rocky Mountain Youth Medical and Nursing Consultants, INC	Pediatrics - Adolescent Medicine	Fort Collins	AI Deep Dive

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