Provider Demographics
NPI:1407014087
Name:MESSNER, KATHERINE SUE (DO)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:SUE
Last Name:MESSNER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 POUDRE RIVER DR UNIT A
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80524-3557
Mailing Address - Country:US
Mailing Address - Phone:970-484-3078
Mailing Address - Fax:
Practice Address - Street 1:1100 POUDRE RIVER DR UNIT A
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-3557
Practice Address - Country:US
Practice Address - Phone:970-484-3078
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-29
Last Update Date:2019-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0052195207ZP0102X
CO52195207ZD0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathology