Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kathlene Sue Waller, MD

Individual provider Pediatric Adolescent Medicine Physician · NPI 1023027778

Dr. Kathlene Sue Waller, MD is a Pediatric Adolescent Medicine Physician in Fort Collins, Colorado. Licensed in Colorado. Registered with an NPI since 2006.

Licensed in
CO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Partly verified

Some contact details are missing from the federal record.

Hartshorn Health Service Colorado State University
Fort Collins, CO 80523-8031
Phone: (970) 491-7121
Fax: (970) 491-0226
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X · Licence 30233 (CO)

Record details

NPI number1023027778
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 5, 2006
Last updated in NPPESJuly 8, 2007

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