Derickson, Kevin Matthew
Derickson, Kevin Matthew is an individual health care provider with primary practice located at 2121 S Oneida St Ste 270 , Denver CO 80224-2551. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Derickson, Kevin Matthew can be contacted via phone (303) 355-1695.Contact Information
Primary practice address
2121 S Oneida St Ste 270
Denver CO 80224-2551
Phone: (303) 355-1695
Fax: (303) 355-1834
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | PO2824 | Florida |
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | POD.0000548 | Colorado |
Profile Details
NPI number | 1396748497 |
---|---|
LBN Legal business name | Derickson, Kevin Matthew |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 23rd, 2005 |
Last updated | Nov 4th, 2022 - about 2 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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