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

Kathleen Anne Hannifan, MD

Individual provider Pediatrics Physician · NPI 1114037389

Kathleen Anne Hannifan, MD is a Pediatrics Physician in Fort Collins, Colorado. Licensed in Colorado, Washington and Wyoming. Registered with an NPI since 2006.

Licensed in
CO, WA, WY
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1200 E Elizabeth St The Youth Clinic
Fort Collins, CO 80524-4007
Phone: (979) 267-9510
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 8131A (WY)
Pediatrics Physician Taxonomy 208000000X · Licence ML20008677 (WA)
Pediatric Adolescent Medicine Physician Taxonomy 2080A0000X · Licence 8131A (WY)
Pediatrics Physician Taxonomy 208000000X · Licence 0051721 (CO)

Record details

NPI number1114037389
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESJuly 16, 2014

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