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

Skin PC

Organization Dermatology Physician · NPI 1447629886

Skin PC is a Dermatology Physician 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
Show map & directions

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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