Kathleen Anne Hannifan, M.D

NPI #1114037389 in Fort Collins, Colorado

Provider Information

NPI Number: 1114037389
Entity Type: Individual
Name: Kathleen Anne Hannifan, M.D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M.D
Enumeration Date: Aug 30, 2006
Last Updated: Jul 16, 2014

Practice Location

Address: 1200 E ELIZABETH ST
Address 2: THE YOUTH CLINIC
City: Fort Collins
State: Colorado
ZIP Code: 80524-4007
Phone: (979) 267-9510

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary
Pediatrics - Adolescent Medicine — Adolescent Medicine	2080A0000X

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