Provider Demographics
NPI:1942603543
Name:MCGUIRE, KALIN MARIE (CYI, RCR, HH)
Entity Type:Individual
Prefix:
First Name:KALIN
Middle Name:MARIE
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:CYI, RCR, HH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3547 W 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-4052
Mailing Address - Country:US
Mailing Address - Phone:970-238-1833
Mailing Address - Fax:
Practice Address - Street 1:1315 MAIN AVE
Practice Address - Street 2:209
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-5173
Practice Address - Country:US
Practice Address - Phone:970-238-1833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-27
Last Update Date:2014-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173C00000XOther Service ProvidersReflexologist
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No174400000XOther Service ProvidersSpecialist
No174H00000XOther Service ProvidersHealth Educator