Provider Demographics
NPI:1417399213
Name:WEESE BELL, KAREN KATHLEEN (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:KATHLEEN
Last Name:WEESE BELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:WEESE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2900 S COLLEGE AVE
Mailing Address - Street 2:SUITE 3G
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-2562
Mailing Address - Country:US
Mailing Address - Phone:970-300-3323
Mailing Address - Fax:970-266-8104
Practice Address - Street 1:2900 S COLLEGE AVE
Practice Address - Street 2:SUITE 3G
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-2562
Practice Address - Country:US
Practice Address - Phone:970-300-3323
Practice Address - Fax:970-266-8104
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-22
Last Update Date:2015-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0055374207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO442603ZRCGMedicare PIN