Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathleen C Mira

Individual provider Health & Wellness Coach · NPI 1104757012

Kathleen C Mira is a Health & Wellness Coach in San Rafael, California. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1111 Las Gallinas Ave
San Rafael, CA 94903-1843
Phone: (415) 491-6616
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health & Wellness Coach (primary) Taxonomy 171400000X

Record details

NPI number1104757012
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 28, 2026
Last updated in NPPESMay 28, 2026
Certification dateMay 19, 2026

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