Hannifan, Kathleen Anne

Hannifan, Kathleen Anne is an individual health care provider with primary practice located at 1200 E Elizabeth St The Youth Clinic, Fort Collins CO 80524-4007. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Hannifan, Kathleen Anne can be contacted via phone (979) 267-9510.

Contact Information

Primary practice address
1200 E Elizabeth St The Youth Clinic Fort Collins CO 80524-4007
Phone: (979) 267-9510
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ML20008677 Washington
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 8131A Wyoming
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 8131A Wyoming
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0051721 Colorado

Profile Details

NPI number 1114037389
LBN Legal business name Hannifan, Kathleen Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 16th, 2014 - about 12 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.

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