Individual
DR. KEVIN MATTHEW DERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2121 S ONEIDA ST STE 270, DENVER, CO 80224-2551
(303) 355-1695
(303) 355-1834
Mailing address
PO BOX 21150, BOULDER, CO 80308-4150
(033) 551-6953
(303) 355-1834
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
PO2824
FL
213EP1101X
Primary Podiatric Medicine Podiatrist
POD.0000548
CO
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD.0000548
CO
Other
Enumeration date
05/23/2005
Last updated
02/20/2026
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