Healthcare Provider Details

I. General information

NPI: 1336501865
Provider Name (Legal Business Name): AMELIA MCKEE GUINN MS, RD, CD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2016
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6823 S HIGHLAND PARK DR
SPOKANE WA
99223-6200
US

IV. Provider business mailing address

6823 S HIGHLAND PARK DR
SPOKANE WA
99223-6200
US

V. Phone/Fax

Practice location:
  • Phone: 509-951-3193
  • Fax:
Mailing address:
  • Phone: 509-951-3193
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDI60523076
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: