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Destination Dermatology LLC

Medical Specialty Clinic/Center in Frisco, CO · enumerated 2017 · authorized official Kelly Ballou, Managing Member.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205368453

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Registry record

Entity type Organization (Type 2)
Legal business name Destination Dermatology LLC
Other name <Unavail>
Practice address 60 Main Street, Ste F, G & H, Frisco, CO, 80443
Phone (309) 287-1909
Enumeration date Mar 28, 2017
Last updated in NPPES Jun 16, 2026

Taxonomy & classification

207NS0135X Procedural Dermatology Physician Allopathic & Osteopathic Physicians Secondary
261QM2500X Medical Specialty Clinic/Center Ambulatory Health Care Facilities · License PA0004388 (CO) Primary

Authorized official

Name Kelly Ballou
Title Managing Member
Phone (970) 409-4000

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Destination Dermatology LLC?
NPPES lists Kelly Ballou (Managing Member) as the authorized official for this organization.
What is the NPI number for Destination Dermatology LLC?
The NPI for Destination Dermatology LLC is 1205368453, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-06-16.