Dr Kathlene Sue Waller, MD - Pediatrics in Fort Collins, CO

Dr Kathlene Sue Waller, MD is a Pediatrics - Adolescent Medicine physician based in Fort Collins, Colorado. Dr Kathlene Sue Waller is licensed to practice in Colorado (license number 30233) and her current practice location is Hartshorn Health Service, Colorado State University, Fort Collins, Colorado. She can be reached at her office (for appointments etc.) via phone at (970) 491-7121.

NPI number for Dr Kathlene Sue Waller is 1023027778 and her current mailing address is Hartshorn Health Service, Colorado State University, Fort Collins, Colorado. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023027778.

Contact Information

Dr Kathlene Sue Waller, MD
Hartshorn Health Service, Colorado State University,
Fort Collins, CO 80523-8031
(970) 491-7121
(970) 491-0226

Map and Direction




Physician's Profile

Full NameDr Kathlene Sue Waller
GenderFemale
SpecialityPediatrics - Adolescent Medicine
LocationHartshorn Health Service, Fort Collins, Colorado
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1023027778
  • Provider Enumeration Date: 08/05/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Kathlene Sue Waller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023027778NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080A0000XPediatrics - Adolescent Medicine 30233 (Colorado)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kathlene Sue Waller is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kathlene Sue Waller, MD
Hartshorn Health Service, Colorado State University,
Fort Collins, CO 80523-8031

Ph: (970) 491-7121
Dr Kathlene Sue Waller, MD
Hartshorn Health Service, Colorado State University,
Fort Collins, CO 80523-8031

Ph: (970) 491-7121

Reviews and Comments


Pediatrics Doctors in Fort Collins, CO

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Phone: 303-697-2583    Fax: 970-494-4050
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Phone: 979-267-9510    
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Medicare: Not Enrolled in Medicare
Practice Location: 2001 S. Shields Street, Bldg G, Fort Collins, CO 80526
Phone: 970-484-4871    Fax: 970-482-4927

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