OrganizationActive
Boulder Valley Center for Dermatology LLC
NPI 1972109916 · Dermatology Physician · Brighton, CO
Provider details
- NPI number
- 1972109916
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kelly Kenyon, Practice Admin(720) 308-7714
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1610 Prairie Center Pkwy Ste 2230
Brighton, CO 80601-4008
Phone: (303) 604-1444
Fax: (303) 666-0911
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 272308
Fort Collins, CO 80527-2308
Registry dates
- Enumerated
- 2020-12-07
- Last updated
- 2024-09-03
- Certified
- 2024-09-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.