Provider Demographics
NPI:1841926243
Name:FOOT AND ANKLE CENTER OF THE ROCKIES LLC
Entity type:Organization
Organization Name:FOOT AND ANKLE CENTER OF THE ROCKIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ISABEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KAELIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-632-3668
Mailing Address - Street 1:14000 E ARAPAHOE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-4044
Mailing Address - Country:US
Mailing Address - Phone:303-632-3668
Mailing Address - Fax:303-632-3669
Practice Address - Street 1:14000 E ARAPAHOE RD STE 100
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-4044
Practice Address - Country:US
Practice Address - Phone:303-632-3668
Practice Address - Fax:303-632-3669
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FOOT AND ANKLE CENTER OF THE ROCKIES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-07-27
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty