Diane Lucy Kallgren in Boulder - Dermatology
Diane Lucy Kallgren - NPI 1144214016
Diane Lucy Kallgren is a Dermatology in Boulder, Colorado. Diane Lucy Kallgren practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Diane Lucy Kallgren is 1144214016. The last update date is 2007-08-27.
Diane Lucy Kallgren's current location address is 3434 47th St, Boulder, Colorado. You can contact this provider via phone number 3034448100 and fax number 3034448113. The mailing address for Diane Lucy Kallgren is 3434 47th St, Boulder, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diane Lucy Kallgren |
|---|---|
| Address | 3434 47th St, Boulder, Colorado |
| Phone Number | 3034448100 |
| Fax Number | 3034448113 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1144214016 |
|---|---|
| Provider Enumeration Date | 2005-09-07 |
| Last Updated Date | 2007-08-27 |
Provider Mailing Address Detail
| Address | 3434 47th St |
|---|---|
| City | Boulder |
| State | Colorado (CO) |
| Post Code | 803011880 |
| Phone Number | 3034448100 |
| Fax Number | 3034448113 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 33197 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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What is the unique 10-digit identification code issued to Diane Lucy Kallgren by the Centers for Medicare & Medicaid Services?
The Diane Lucy Kallgren has been assigned the NPI (National Provider Identifier) 1144214016 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Diane Lucy Kallgren?
The Diane Lucy Kallgren is physically situated at 3434 47Th St, in the city of Boulder, state of CO, with the postal code 803011880.
What is the Diane Lucy Kallgren's area of specialization and corresponding taxonomy classification?
The Diane Lucy Kallgren's specialty field is Dermatology, and it falls under the taxonomy code 207N00000X, which categorizes healthcare providers based on their specialties.
On what date did the Diane Lucy Kallgren receive its 1144214016 assignment from the Centers for Medicare & Medicaid Services?
The Diane Lucy Kallgren was assigned its 1144214016 by the Centers for Medicare & Medicaid Services on 2005-09-07.
When was the Diane Lucy Kallgren's information last updated?
The Diane Lucy Kallgren's information was last updated on 2007-08-27.
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