Kelley D Wear is a Specialist in Broomfield, Colorado. Kelley D Wear practices all healthcare services and medical treatments related to Specialist. The NPI Number for Kelley D Wear is 1255351300. The last update date is 2023-03-07.
Kelley D Wear's current location address is 16677 Lowell Blvd Ste 100, Broomfield, Colorado. You can contact this provider via phone number 3039577116. The mailing address for Kelley D Wear is 16677 Lowell Blvd Ste 100, Broomfield, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelley D Wear |
|---|---|
| Address | 16677 Lowell Blvd Ste 100, Broomfield, Colorado |
| Phone Number | 3039577116 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1255351300 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 16677 Lowell Blvd Ste 100 |
|---|---|
| City | Broomfield |
| State | Colorado (CO) |
| Post Code | 800238053 |
| Phone Number | 3039577116 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | DR-44546 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DR44545 | CO | MEDICAL LICENSE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kelley D Wear?
The Kelley D Wear has been issued the NPI (National Provider Identifier) 1255351300 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Kelley D Wear's facilities are geographically located?
The facilities of Kelley D Wear are physically situated at the following location: 16677 Lowell Blvd Ste 100, Broomfield, CO, 800238053.
What is Kelley D Wear's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kelley D Wear is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1255351300 to Kelley D Wear?
The Centers for Medicare & Medicaid Services assigned the 1255351300 to Kelley D Wear on 2006-07-20.
When was the information regarding Kelley D Wear, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kelley D Wear, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-03-07.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY