# COLORADO KNEE AND SPINE CLINIC, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** First Care Primary Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710534524
- **Authorized official:** DR. JEFF SELANO DC (OWNER/CEO)
- **Authorized official phone:** (720) 681-6170

## Contact information

- **Practice address:** 6726 S REVERE PKWY STE 180, CENTENNIAL, CO 80112-3962
- **Practice address phone:** (720) 681-6170
- **Mailing address:** 6726 S REVERE PKWY STE 180, CENTENNIAL, CO 80112-3962
- **Mailing address phone:** (720) 681-6170

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 08/26/2019
- **Last updated:** 03/07/2022