KALLGREN DERMATOLOGY
NPI 1275953689
Dermatology in Boulder, CO

Active since April 24, 2014
3434 47TH STREET, SUITE 200, BOULDER, CO 80301(303) 444-8100(303) 444-8113 Get Directions Write a Review

NPPES record last updated: April 24, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kallgren Dermatology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KALLGREN DERMATOLOGY (NPI 1275953689) is a healthcare organization registered as a dermatology in Boulder, Colorado and active in the NPI registry since April 2014. The organization lists Susan Lynn Rancis, Pa-c, as its authorized official.

NPPES Registry Identity

NPI1275953689
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameKALLGREN DERMATOLOGY
Location Address3434 47TH STREET, SUITE 200Boulder, CO 80301
Mailing Address3434 47th Street, Suite 200Boulder, CO 80301 · (303) 444-8100 · Fax (303) 444-8113
Fax(303) 444-8113
Organization SubpartNo
Authorized OfficialSusan Lynn RancisPa-c · (303) 444-8100
Enumeration DateApril 24, 2014
NPI 1275953689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in CO · 179
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
3434 47TH STREET, Boulder, CO 80301

Other Identifiers 1

Medicare UPIN562886CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
3434 47TH STREET, #200
BOULDER, CO 80301
Clinic/Center
3434 47TH STREET, SUITE 100
BOULDER, CO 80301
Clinic/Center (Health Service)
3434 47TH STREET, SUITE 100
BOULDER, CO 80301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kallgren Dermatology's NPI number?

The NPI number for Kallgren Dermatology is 1275953689. It was assigned to this organization in the NPPES registry on April 24, 2014.

Where is Kallgren Dermatology located?

Kallgren Dermatology is located at 3434 47th Street Suite 200, Boulder, CO 80301. The listed phone number is (303) 444-8100.

What is Kallgren Dermatology's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Kallgren Dermatology was last updated on April 24, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.