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

Boulder Valley Center for Dermatology LLC

Organization Dermatology Physician · NPI 1972109916

Boulder Valley Center for Dermatology LLC is a Dermatology Physician in Brighton, Colorado. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1610 Prairie Center Pkwy Ste 2230
Brighton, CO 80601-4008
Phone: (303) 604-1444
Fax: (303) 666-0911
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1972109916
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Kenyon — Practice Admin · (720) 308-7714
NPI enumeratedDecember 7, 2020
Last updated in NPPESSeptember 3, 2024
Certification dateSeptember 3, 2024
Mailing addressPo Box 272308, Fort Collins, CO 80527-2308