K2 DERMATOLOGY, LLC
NPI 1558094003
Dermatology in Boulder, CO

Q: What is K2 Dermatology, LLC's NPI number?

The NPI number for K2 Dermatology, LLC is 1558094003. It was assigned to this organization in the NPPES registry on July 1, 2022.

Q: What is K2 Dermatology, LLC's specialty?

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

Active since July 01, 2022

3434 47TH ST STE 200, BOULDER, CO 80301(303) 444-8100 Get Directions Write a Review

NPPES record last updated: July 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About K2 Dermatology, Llc NPPES

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

K2 DERMATOLOGY, LLC (NPI 1558094003) is a healthcare organization registered as a dermatology in Boulder, Colorado and active in the NPI registry since July 2022. The organization lists Ivy Bradshaw Koger, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1558094003

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameK2 DERMATOLOGY, LLC

Location Address3434 47TH ST STE 200Boulder, CO 80301-1817

Mailing Address1165 Linden CirBoulder, CO 80304-0743 · (303) 579-5929

Phone(303) 444-8100

Organization SubpartNo

Authorized OfficialIvy Bradshaw KogerPractice Manager · (303) 579-5929

Enumeration DateJuly 1, 2022

NPPES CertifiedJune 13, 2022

✔ NPI 1558094003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

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 ST STE 200, Boulder, CO 80301

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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 06D1049848

K2 Dermatology · Boulder, CO

Expired · Jul 31, 2026

CLIA Number06D1049848

Laboratory TypePhysician Office

Certificate Effective DateJune 7, 2024

Certificate Expiration DateJuly 31, 2026

Laboratory DirectorDr. Cathy L. Koger

Laboratory Phone(303) 444-8100

Laboratory LocationK2 Dermatology3434 47th St, Ste 200, Boulder, CO 80301

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 5

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

MR. WILLIAM CRANE FIX MD

Dermatology