Provider Demographics
NPI:1912868787
Name:GARIN, KATELYNN ELISE
Entity type:Individual
Prefix:
First Name:KATELYNN
Middle Name:ELISE
Last Name:GARIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 N AVENUE C4
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82007-2506
Mailing Address - Country:US
Mailing Address - Phone:307-631-0581
Mailing Address - Fax:
Practice Address - Street 1:3123 IRON MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82009-9607
Practice Address - Country:US
Practice Address - Phone:307-343-2009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-20
Last Update Date:2025-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator