Healthcare Provider Details

I. General information

NPI: 1649246836
Provider Name (Legal Business Name): KATHRYN ELIZABETH STEER MPAS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2006
Last Update Date: 03/07/2023
Certification Date: 10/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3455 REWAK DR SUITE 103
FAIRBANKS AK
99709
US

IV. Provider business mailing address

PO BOX 82028
FAIRBANKS AK
99708-2028
US

V. Phone/Fax

Practice location:
  • Phone: 907-388-2252
  • Fax: 760-338-0644
Mailing address:
  • Phone: 907-388-2252
  • Fax: 760-338-0644

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number651-AK
License Number StateAK
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number651
License Number StateAK
# 3
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number651-AK
License Number StateAK
# 4
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number651-AK
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: