Kelly Wayne Mcguire
Obstetrician & Gynecologist
6301 University Commons Suite 310
South Bend
, Indiana 46635-1571
Kelly Wayne Mcguire
Obstetrician & Gynecologist
6301 University Commons Suite 310
South Bend
, Indiana 46635-1571
(574) 251-2151
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About
Features
Specialties
- Obstetrician & Gynecologist
Languages spoken
- English
Location
First Address
- Kelly Wayne Mcguire
- 6301 University Commons Ste 230
- South Bend, IN
- Zip : 46635-1571
- Fax : (574) 251-2151
- Phone : (574) 251-2100
Second Address
- Kelly Wayne Mcguire
- 6301 University Commons Suite 310
- South Bend, IN
- Zip : 46635-1571
- Fax : (574) 239-8511
- Phone : (574) 232-1471
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207V00000X | Obstetrician & Gynecologist | 01060309 | IN |
National Provider Identifier
| NPI | 1023063682 |
|---|---|
| Provider Name | Kelly Wayne Mcguire |
| First Address | South Bend, IN 46635-1571 |
| Second Address | South Bend, IN 46635-1571 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/05/2006 |
| Last Update Date | 06/09/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000621003 | BCBS (01) | IN |
| 200523290 | (05) | IN |
| I35100 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.