Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Skin PC

Organization Dermatology Physician · NPI 1447629886

Skin PC provides Dermatology Physician services in Boulder, Colorado. Licensed in Colorado. Registered with an NPI since 2015.

Licensed in
CO
In the registry since
2015
Specialties on file
3
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

905 Alpine Ave
Boulder, CO 80304-3305
Phone: (970) 667-3116
Fax: (970) 669-0159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence DR.0053082 (CO)
Dermatology Physician Taxonomy 207N00000X
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X

Record details

NPI number1447629886
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Mott — Ceo · (303) 569-7700
NPI enumeratedSeptember 16, 2015
Last updated in NPPESDecember 17, 2020
Certification dateDecember 17, 2020
Mailing addressPo Box 7065, Loveland, CO 80537-0065

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