Healthcare Provider Details

I. General information

NPI: 1609372861
Provider Name (Legal Business Name): KATELYN P. STEELE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2018
Last Update Date: 09/23/2021
Certification Date: 09/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

670 PONAHAWAI ST STE 206
HILO HI
96720-7830
US

IV. Provider business mailing address

670 PONAHAWAI ST STE 206
HILO HI
96720-7830
US

V. Phone/Fax

Practice location:
  • Phone: 808-238-0947
  • Fax: 808-437-2059
Mailing address:
  • Phone: 808-238-0947
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD-20736
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: