Provider Demographics
NPI:1659734846
Name:STEPPS, KRISTOPHER G (MD)
Entity Type:Individual
Prefix:
First Name:KRISTOPHER
Middle Name:G
Last Name:STEPPS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:KRISTOPHER
Other - Middle Name:GEORGE
Other - Last Name:STEPPS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 158
Mailing Address - Street 2:
Mailing Address - City:DUMAS
Mailing Address - State:AR
Mailing Address - Zip Code:71639-0158
Mailing Address - Country:US
Mailing Address - Phone:870-382-3080
Mailing Address - Fax:
Practice Address - Street 1:145 W WATERMAN ST
Practice Address - Street 2:
Practice Address - City:DUMAS
Practice Address - State:AR
Practice Address - Zip Code:71639-2139
Practice Address - Country:US
Practice Address - Phone:870-382-3080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-04
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXU4027251S00000X, 207RH0002X, 207RG0300X, 251E00000X
ARE-11337207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No251S00000XAgenciesCommunity/Behavioral Health
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative MedicineGroup - Multi-Specialty
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Multi-Specialty
No251E00000XAgenciesHome Health