Provider Demographics
NPI:1942353586
Name:STEELE, KEVIN SCOTT (DC)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:SCOTT
Last Name:STEELE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:183 WOODLAND ROAD
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23663
Mailing Address - Country:US
Mailing Address - Phone:757-723-1899
Mailing Address - Fax:757-723-8669
Practice Address - Street 1:183 WOODLAND ROAD
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23663
Practice Address - Country:US
Practice Address - Phone:757-723-1899
Practice Address - Fax:757-723-8669
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104001272111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
BCBS282975OtherBCBS
VA0104001272OtherVA STATE
U73799Medicare UPIN
VA00W328501Medicare ID - Type Unspecified