NPI 1972109916 · live from the CMS NPI Registry
Boulder Valley Center For Dermatology LLC
Dermatology in Brighton, CO. National Provider Identifier 1972109916, active.
NPI record
| NPI | 1972109916 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 1610 Prairie Center Pkwy Ste 2230, Brighton, CO 80601 |
| Practice phone | 303-604-1444 |
| Mailing address | Po Box 272308, Fort Collins, CO 80527 |
| Enumerated | December 7, 2020 |
| Last updated | September 3, 2024 |
| Authorized official | Kelly Kenyon, Practice Admin |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.