DR. KATHLENE SUE WALLER M.D. NPI 1023027778

NPI Information

  • NPI: 1023027778
  • Provider Name: DR. KATHLENE SUE WALLER, M.D.
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Individual
  • Address: HARTSHORN HEALTH SERVICE
    COLORADO STATE UNIVERSITY
    FORT COLLINS, CO
    ZIP 80523
  • Phone: (970) 491-7121

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NPI Details

DR. Kathlene Sue Waller, M.D. is an adolescent medicine pediatrics in Fort Collins, CO. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. DR. Kathlene Sue Waller, M.D. NPI is 1023027778. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

HARTSHORN HEALTH SERVICE
COLORADO STATE UNIVERSITY
FORT COLLINS, CO
ZIP 80523-031
Phone: (970) 491-7121
Fax: (970) 491-0226

The enumeration date for this NPI number is 8/5/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080A0000XPediatricsAdolescent Medicine30233COLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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