# KINETIC FOOT AND ANKLE CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KINETIC FOOT AND ANKLE CLINIC LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1245123389
- **Legal business name:** KINETIC FOOT AND ANKLE CLINIC LLC
- **Authorized official:** MARC R HOUSE DPM (OWNER)
- **Authorized official phone:** (720) 295-4864

## Contact information

- **Practice address:** 2373 CENTRAL PARK BLVD UNIT 202, DENVER, CO 80238-2300
- **Practice address phone:** (720) 295-4864
- **Practice address fax:** (855) 805-9391
- **Mailing address:** 5420 S QUEBEC ST STE 106, GREENWOOD VILLAGE, CO 80111-1902
- **Mailing address phone:** (720) 295-4864
- **Mailing address fax:** (855) 805-9391

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 05/29/2025
- **Last updated:** 05/29/2025