Provider Demographics
NPI:1295891059
Name:STEINERT, KENTON D (DC)
Entity type:Individual
Prefix:
First Name:KENTON
Middle Name:D
Last Name:STEINERT
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 1:2833 VEROT SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-6411
Mailing Address - Country:US
Mailing Address - Phone:337-981-7773
Mailing Address - Fax:337-983-0036
Practice Address - Street 1:2833 VEROT SCHOOL RD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-6411
Practice Address - Country:US
Practice Address - Phone:337-981-7773
Practice Address - Fax:337-983-0036
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2011-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA#1235111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA4B737DG03Medicare PIN