Provider Demographics
NPI:1649246836
Name:STEER, KATHRYN ELIZABETH (MPAS PA-C)
Entity type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:ELIZABETH
Last Name:STEER
Suffix:
Gender:F
Credentials:MPAS PA-C
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 82028
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99708-2028
Mailing Address - Country:US
Mailing Address - Phone:907-388-2252
Mailing Address - Fax:760-338-0644
Practice Address - Street 1:3455 REWAK DR
Practice Address - Street 2:SUITE 103
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99709
Practice Address - Country:US
Practice Address - Phone:907-388-2252
Practice Address - Fax:760-338-0644
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-27
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK651-AK101Y00000X, 261QU0200X, 207Q00000X
AK651363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS0880953OtherDEA NUMBER
AKK160364Medicare PIN
AKQ27292Medicare UPIN
AK0361450001Medicare NSC