Kathleen Anne Hannifan, MD - Pediatrics in Fort Collins, CO

Kathleen Anne Hannifan, MD is a Pediatrics physician based in Fort Collins, Colorado. Kathleen Anne Hannifan is licensed to practice in Wyoming (license number 8131A) and her current practice location is 1200 E Elizabeth St, The Youth Clinic, Fort Collins, Colorado. She can be reached at her office (for appointments etc.) via phone at (979) 267-9510.

NPI number for Kathleen Anne Hannifan is 1114037389 and her current mailing address is 1200 E Elizabeth St, The Youth Clinic, Fort Collins, Colorado. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114037389.

Contact Information

Kathleen Anne Hannifan, MD
1200 E Elizabeth St, The Youth Clinic,
Fort Collins, CO 80524-4007
(979) 267-9510
Not Available

Map and Direction




Physician's Profile

Full NameKathleen Anne Hannifan
GenderFemale
SpecialityPediatrics
Location1200 E Elizabeth St, Fort Collins, Colorado
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1114037389
  • Provider Enumeration Date: 08/30/2006
  • Last Update Date: 07/16/2014

Medical Identifiers

Medical identifiers for Kathleen Anne Hannifan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114037389NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics ML20008677 (Washington)Secondary
2080A0000XPediatrics - Adolescent Medicine 8131A (Wyoming)Secondary
208000000XPediatrics 8131A (Wyoming)Primary
208000000XPediatrics 0051721 (Colorado)Secondary

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. Kathleen Anne Hannifan 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
Kathleen Anne Hannifan, MD
1200 E Elizabeth St, The Youth Clinic,
Fort Collins, CO 80524-4007

Ph: (970) 267-9510
Kathleen Anne Hannifan, MD
1200 E Elizabeth St, The Youth Clinic,
Fort Collins, CO 80524-4007

Ph: (979) 267-9510

Reviews and Comments


Pediatrics Doctors in Fort Collins, CO

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Dr. Richard Rawson Booth, M.D.
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Practice Location: 2001 S. Shields Street, Bldg G, Fort Collins, CO 80526
Phone: 970-484-4871    Fax: 970-482-4927

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