Healthcare Provider Details

I. General information

NPI: 1578061420
Provider Name (Legal Business Name): COLORADO FOOT AND ANKLE RESEARCH INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2018
Last Update Date: 01/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3438 FEDERAL BLVD
DENVER CO
80211
US

IV. Provider business mailing address

3438 FEDERAL BLVD
DENVER CO
80211
US

V. Phone/Fax

Practice location:
  • Phone: 847-494-4366
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberD000000760
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPOD.0000760
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code1744R1102X
TaxonomyResearch Study Specialist
License Number
License Number State

VIII. Authorized Official

Name: ERIC C. KUHLMAN
Title or Position: CO-OWNER
Credential: DPM
Phone: 847-494-4366