NPI 1023063682

Kelly Wayne McGuire, MD

Practitioner Obstetrics & Gynecology Physician South Bend, IN

Practice location

Address: 6301 University Commons Suite 310, South Bend, IN 46635-1571
Phone: (574) 232-1471
Fax: (574) 239-8511
Mailing address: 6301 University Commons STE 230, South Bend, IN 46635-1571

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 01060309 (IN)

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Registry record

NPI: 1023063682
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 May 2006
Record last updated: 6 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.