Provider Demographics
NPI:1770073447
Name:LEWIS, STEVEN KYLE (PA-C)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:KYLE
Last Name:LEWIS
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:MR
Other - First Name:STEVEN
Other - Middle Name:KYLE
Other - Last Name:FLEENER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1100 TUNNEL RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805-2576
Mailing Address - Country:US
Mailing Address - Phone:828-369-1781
Mailing Address - Fax:855-865-3651
Practice Address - Street 1:1100 TUNNEL RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805-2576
Practice Address - Country:US
Practice Address - Phone:828-369-1781
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-17
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-08056.363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant