Provider Demographics
NPI:1174820526
Name:MCGUIRE, KATHERINE N (LMT)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:N
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:506 EUCLID ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45044-4912
Mailing Address - Country:US
Mailing Address - Phone:513-863-2273
Mailing Address - Fax:513-863-6022
Practice Address - Street 1:1199 MAIN ST
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-1636
Practice Address - Country:US
Practice Address - Phone:513-863-2273
Practice Address - Fax:513-863-6022
Is Sole Proprietor?:No
Enumeration Date:2011-02-22
Last Update Date:2011-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33-016060174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist