Healthcare Provider Details

I. General information

NPI: 1487186144
Provider Name (Legal Business Name): KENNETH STEIL D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: KENNY STEIL D.O.

II. Dates (important events)

Enumeration Date: 03/31/2017
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14301 N 87TH ST STE 302
SCOTTSDALE AZ
85260-3690
US

IV. Provider business mailing address

10960 N 128TH WAY
SCOTTSDALE AZ
85259-4425
US

V. Phone/Fax

Practice location:
  • Phone: 480-531-1320
  • Fax: 480-383-6096
Mailing address:
  • Phone: 480-577-8189
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number007744
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number007744
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: