Provider Demographics
NPI:1962631028
Name:STEFFEN, KIM ANN (CMT)
Entity Type:Individual
Prefix:
First Name:KIM
Middle Name:ANN
Last Name:STEFFEN
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 260
Mailing Address - Street 2:
Mailing Address - City:NEWCASTLE
Mailing Address - State:CA
Mailing Address - Zip Code:95658-0260
Mailing Address - Country:US
Mailing Address - Phone:916-622-0025
Mailing Address - Fax:916-663-4852
Practice Address - Street 1:10215 INDIAN HILL RD
Practice Address - Street 2:
Practice Address - City:NEWCASTLE
Practice Address - State:CA
Practice Address - Zip Code:95658-0260
Practice Address - Country:US
Practice Address - Phone:916-622-0025
Practice Address - Fax:916-663-4852
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-10
Last Update Date:2009-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA98577175L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175L00000XOther Service ProvidersHomeopath