Waller, Kathlene Sue

Waller, Kathlene Sue is an individual health care provider with primary practice located at Hartshorn Health Service Colorado State University, Fort Collins CO 80523-8031. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Waller, Kathlene Sue can be contacted via phone (970) 491-7121.

Contact Information

Primary practice address
Hartshorn Health Service Colorado State University Fort Collins CO 80523-8031
Phone: (970) 491-7121
Fax: (970) 491-0226
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 30233 Colorado

Profile Details

NPI number 1023027778
LBN Legal business name Waller, Kathlene Sue
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers