Organization
SKIN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JOHN MOTT MD (OWNER)
(303) 569-7700
Entity
Organization
Contact information
Practice address
78878 US HWY 40, WINTER PARK, CO 80482
(706) 673-1169
(970) 669-0159
Mailing address
PO BOX 7065, LOVELAND, CO 80537-0065
(970) 663-2742
(970) 342-2093
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
12/17/2020
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