Provider Demographics
NPI:1346213915
Name:STEINERT, KRISTI J (PAC)
Entity Type:Individual
Prefix:
First Name:KRISTI
Middle Name:J
Last Name:STEINERT
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:KRISTI
Other - Middle Name:J
Other - Last Name:CINNAMON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:330 S 5TH ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73701-5825
Mailing Address - Country:US
Mailing Address - Phone:580-242-2386
Mailing Address - Fax:580-233-5312
Practice Address - Street 1:330 S 5TH ST
Practice Address - Street 2:SUITE 400
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73701-5825
Practice Address - Country:US
Practice Address - Phone:580-242-2386
Practice Address - Fax:580-233-5312
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKPA1486363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200072480AMedicaid
Q61290Medicare UPIN
OKOK400941Medicare PIN