Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kallgren Dermatology Clinic, PC

Organization Dermatology Physician · NPI 1790978393

Kallgren Dermatology Clinic, PC provides Dermatology Physician services in Boulder, Colorado. Licensed in Colorado. Registered with an NPI since 2007.

Licensed in
CO
In the registry since
2007
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3434 47th St #200
Boulder, CO 80301-1880 Not confirmed with CMS for 19 years — call before visiting
Phone: (303) 444-8100
Fax: (303) 444-8113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 33197 (CO)
Dermatopathology Physician Taxonomy 207ND0900X · Licence 33197 (CO)

Record details

NPI number1790978393
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Maguire — Office Manager · (303) 444-8100
NPI enumeratedAugust 27, 2007
Last updated in NPPESAugust 27, 2007
Mailing address3434 47th St, 200, Boulder, CO 80301-1880

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