Kevin Matthew Derickson in Boulder - Primary Podiatric Medicine
Kevin Matthew Derickson - NPI 1396748497
Kevin Matthew Derickson is a Primary Podiatric Medicine in Boulder, Colorado. Kevin Matthew Derickson practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for Kevin Matthew Derickson is 1396748497. The last update date is 2022-11-04.
Kevin Matthew Derickson's current location address is Po Box 21150, Boulder, Colorado. You can contact this provider via phone number 335516953 and fax number 3033551834. The mailing address for Kevin Matthew Derickson is Po Box 21150, Boulder, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Matthew Derickson |
|---|---|
| Address | Po Box 21150, Boulder, Colorado |
| Phone Number | 335516953 |
| Fax Number | 3033551834 |
| Sole Proprietor | N |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1396748497 |
|---|---|
| Provider Enumeration Date | 2005-05-23 |
| Last Updated Date | 2022-11-04 |
Provider Mailing Address Detail
| Address | Po Box 21150 |
|---|---|
| City | Boulder |
| State | Colorado (CO) |
| Post Code | 8030841500 |
| Phone Number | 335516953 |
| Fax Number | 3033551834 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Podiatric Medicine |
|---|---|
| Taxonomy | 213Ep1101X |
| Licence No | PO2824 |
|
Definition: A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities. |
|
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kevin Matthew Derickson by the Centers for Medicare & Medicaid Services?
The Kevin Matthew Derickson has been issued the NPI (National Provider Identifier) 1396748497, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kevin Matthew Derickson?
The Kevin Matthew Derickson is situated at Po Box 21150, in the city of Boulder, state of CO, with the zip code 8030841500.
What is the area of specialization for Kevin Matthew Derickson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kevin Matthew Derickson is Primary Podiatric Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 213Ep1101X.
On what date did the Centers for Medicare & Medicaid Services issue the 1396748497 to Kevin Matthew Derickson?
The Kevin Matthew Derickson received its 1396748497 assignment from the Centers for Medicare & Medicaid Services on 2005-05-23.
As of what date was the information regarding Kevin Matthew Derickson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kevin Matthew Derickson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-11-04.