IndividualActive
Kathlene Waller, M.D.
NPI 1023027778 · Pediatric Adolescent Medicine Physician · Fort Collins, CO
Provider details
- NPI number
- 1023027778
- Entity type
- Individual
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 30233 (CO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
Hartshorn Health Service
Colorado State University
Fort Collins, CO 80523-8031
Phone: (970) 491-7121
Fax: (970) 491-0226
Approximate (ZIP-level) locationGet directions
Mailing address
Hartshorn Health Service
Fort Collins, CO 80523-8031
Registry dates
- Enumerated
- 2006-08-05
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.