Destination Dermatology Llc, NPI 1205368453
Medical Specialty Clinic/Center in Frisco, CO, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1205368453
NPI Entity Type Organization
Provider Name Destination Dermatology Llc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 60 Main Street, Ste F, G & H, Frisco, CO, US
Provider Mailing Address 265 Dillon Ridge Rd, Ste C402, Dillon, CO, US, 804356009
Is Sole Proprietor? No
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Organization Official

Official Name PA-C Kelly Ballou
Official Position MANAGING MEMBER
Phone 309-287-1909

Primary Taxonomy

Taxonomy Code

261QM2500X

Taxonomy Name Medical Specialty Clinic/Center
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

License No. PA0004388
License State CO
Description An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Other Organization Name

Renew Dermatology
Doing Business As

Business Address

Destination Dermatology Llc
60 Main Street
Ste F, G & H

Frisco, CO, US

Phone: 309-287-1909

Mailing Address

Destination Dermatology Llc
265 Dillon Ridge Rd
Ste C402
Dillon, CO, US
ZIP 804356009
Phone: 309-287-1909

Other Providers in CO, US

NPI Name Taxonomy Address

1851027189

DR. PHARMD Kyra Navia

Individual

Pharmacist

5071 Kipling St

Wheat Ridge, CO

1871254383

Laura M Aversano, Dds, Pllc

Organization

Dental Clinic/Center

941 S Havana St

200

Aurora, CO

1598833139

DR. DDS Laura Marie Martinez Aversano

Individual

Dentist

941 S Havana St Ste 200

Aurora, CO

1871720409

PA-C Colleen Katherine Wuellner

Individual

Physician Assistant

6169 S. Balsam Way

Ste #220

Littleton, CO

1760116313

Laura K Graf

Individual

Professional Counselor

2472 Patterson Rd Unit 16

Grand Junction, CO

1245874189

LMT Elizabeth Anne Velasquez

Individual

Massage Therapist

5944 S Kipling Pkwy Ste 202

Littleton, CO

1700176708

M.D. Kaylin A Klie

Individual

Addiction Medicine (Family Medicine) Physician

1693 Quentin St

Aurora, CO

1437410776

LPC Anita Caronna

Individual

Professional Counselor

1693 Quentin St

Aurora, CO

1841824075

Ryanne Hill

Individual

Registered Dietitian

2090 Blue Mountain Rd

Longmont, CO

1124042650

PT Lennea Zink

Individual

Physical Therapist

2964 Ginnala Dr

Loveland, CO

1598388688

PA-C Janina Korba

Individual

Physician Assistant

4743 Arapahoe Ave Ste 100

Boulder, CO

1104541473

Jessica Kodi Kuykendall

Individual

Massage Therapist

6175 Habitat Dr Apt 1059

Boulder, CO

1669197034

NONE Margot Rossini Nicholls

Individual

Behavior Technician

4770 Baseline Rd Ste 200

Boulder, CO

1801510524

PHD Stephanie Spies-upton

Individual

Clinical Psychologist

7730 N Union Blvd Ste 105

Colorado Springs, CO

1720095912

DR. M.D. Howard A Layman

Individual

Psychiatry Physician

1217 Riverside Ave

Fort Collins, CO

1659867695

PA Luke Bublitz

Individual

Surgical Physician Assistant

175 Inverness Dr W

Englewood, CO

1992218051

Parker Personal Care Homes, Inc

Organization

Mental Health Clinic/Center (Including Community Mental Health Center)

357 Mccaslin Blvd

Louisville, CO

1386239648

DR. DC Jacob Burchell

Individual

Chiropractor

11880 Upham St Unit F

Broomfield, CO

1104358340

Zachary Gittings

Individual

Clinical Social Worker

4856 Innovation Dr Ste B

Fort Collins, CO

1043334949

DR. DMD Dror J Papir

Individual

Orthodontics and Dentofacial Orthopedic Dentist

1835 S Federal Blvd

Denver, CO

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