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 is a Dermatology Physician 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
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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