Provider Demographics
NPI:1568809200
Name:STEELE, KRISTINA ELAINE LOUISE (DO)
Entity Type:Individual
Prefix:DR
First Name:KRISTINA
Middle Name:ELAINE LOUISE
Last Name:STEELE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:KRISTINA
Other - Middle Name:ELAINE LOUISE
Other - Last Name:NIVUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-812-7000
Mailing Address - Fax:717-767-8985
Practice Address - Street 1:1401 ROOSEVELT AVE
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17404-2244
Practice Address - Country:US
Practice Address - Phone:717-812-7000
Practice Address - Fax:717-767-8985
Is Sole Proprietor?:No
Enumeration Date:2013-06-03
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS018266207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine