Provider Demographics
NPI:1184867764
Name:HAND CENTER PC
Entity Type:Organization
Organization Name:HAND CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:KELLEY
Authorized Official - Middle Name:D
Authorized Official - Last Name:WEAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-957-7116
Mailing Address - Street 1:3006 CASTLE PEAK AVE
Mailing Address - Street 2:
Mailing Address - City:SUPERIOR
Mailing Address - State:CO
Mailing Address - Zip Code:80027-6067
Mailing Address - Country:US
Mailing Address - Phone:303-957-7116
Mailing Address - Fax:720-887-0942
Practice Address - Street 1:16677 LOWELL BLVD # 100
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80023-8053
Practice Address - Country:US
Practice Address - Phone:303-957-7116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-13
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO445462086S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the HandGroup - Single Specialty