Kallgren Dermatology

LBN: Kallgren Dermatology
Kallgren Dermatology is an health care organization with primary practice located at 3434 47Th Street Suite 200, Boulder CO 80301. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Kallgren Dermatology can be contacted via phone (303) 444-8100, or through Rancis, Susan Lynn via phone (303) 444-8100.

Contact Information

Primary practice address
3434 47Th Street Suite 200 Boulder CO 80301
Fax: (303) 444-8113
Website:
Authorized official contact:
Name: Rancis, Susan Lynn Physician's Assistant Certified (PA-C)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 179 Colorado

Profile Details

NPI number 1275953689
LBN Legal business name Kallgren Dermatology
DBA Doing business as
Authorized official Rancis, Susan Lynn Physician's Assistant Certified (PA-C)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2014
Last updated Apr 24th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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