Healthcare Provider Details

I. General information

NPI: 1972691400
Provider Name (Legal Business Name): VAIL-SUMMIT ORTHOPAEDICS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 PEAK ONE DR STE 180
FRISCO CO
80443-5948
US

IV. Provider business mailing address

PO BOX 96259
PHOENIX AZ
85072-6259
US

V. Phone/Fax

Practice location:
  • Phone: 970-668-3633
  • Fax: 970-668-4406
Mailing address:
  • Phone: 970-241-0202
  • Fax: 970-245-0250

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: COLLEEN A KINLUND
Title or Position: COO
Credential:
Phone: 970-477-4456