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

Dr. Diane Lucy Kallgren, MD

Individual provider Specialist · NPI 1144214016

Dr. Diane Lucy Kallgren, MD is a Specialist in Boulder, Colorado. Licensed in Colorado. Registered with an NPI since 2005.

Licensed in
CO
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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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
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 33197 (CO)
Specialist Taxonomy 174400000X · Licence 33197 (CO)
Dermatopathology Physician Taxonomy 207ND0900X · Licence 33197 (CO)

Record details

NPI number1144214016
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 7, 2005
Last updated in NPPESAugust 27, 2007

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