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Contact Information

KEVIN M DERICKSON, DPM
2121 S ONEIDA ST STE 270
DENVER, CO80224-2551
 Phone: 303-355-1695
 Fax: 303-355-1834
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Primary Podiatric Medicine

213EP1101X 48 Podiatry
Indicates primary specialty

NPI Profile & details for KEVIN M DERICKSON · (Male)

NPI # 1396748497
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 05/23/2005
Last updated 02/20/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • CO License # POD.0000548
Hospital affiliation(s)
  • CAPITAL REGIONAL MEDICAL CENTER - (Acute Care)
    2626 CAPITAL MEDICAL BLVD
    TALLAHASSEE, FL 32308
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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