Healthcare Provider Details

I. General information

NPI: 1215713300
Provider Name (Legal Business Name): KEVIN D. STEFFEN JR. DPM, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2023
Last Update Date: 01/16/2025
Certification Date: 01/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

806 WEST RD
MOUNTAIN HOME AR
72653-4510
US

IV. Provider business mailing address

509 STEFFEN HILL LN
OAKLAND AR
72661-8017
US

V. Phone/Fax

Practice location:
  • Phone: 724-944-2573
  • Fax:
Mailing address:
  • Phone: 870-580-5589
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. KEVIN D STEFFEN JR.
Title or Position: DPM
Credential: DPM
Phone: 870-580-5589