Derickson, Kevin Matthew

Derickson, Kevin Matthew is an individual health care provider with primary practice located at 2121 S Oneida St Ste 270 , Denver CO 80224-2551. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Derickson, Kevin Matthew can be contacted via phone (303) 355-1695.

Contact Information

Primary practice address
2121 S Oneida St Ste 270 Denver CO 80224-2551
Phone: (303) 355-1695
Fax: (303) 355-1834
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X PO2824 Florida
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X POD.0000548 Colorado

Profile Details

NPI number 1396748497
LBN Legal business name Derickson, Kevin Matthew
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Nov 4th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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