Healthcare Provider Details

I. General information

NPI: 1205015401
Provider Name (Legal Business Name): KENT STEELE PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2007
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2730 ALASKA HIGHWAY
DELTA JUNCTION AK
99737
US

IV. Provider business mailing address

PO BOX 258
DELTA JUNCTION AK
99737-0258
US

V. Phone/Fax

Practice location:
  • Phone: 907-895-6233
  • Fax: 907-895-6288
Mailing address:
  • Phone: 907-895-6233
  • Fax: 907-895-6288

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPADA231
License Number StateAK
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number231
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: