Healthcare Provider Details

I. General information

NPI: 1306764774
Provider Name (Legal Business Name): STEVEN KLEIBOEKER DVM, PHD, HCLD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18000 W 99TH ST STE 100
LENEXA KS
66219-1233
US

IV. Provider business mailing address

18000 W 99TH ST
LENEXA KS
66219-1233
US

V. Phone/Fax

Practice location:
  • Phone: 844-878-4723
  • Fax: 888-224-3499
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247ZC0005X
TaxonomyClinical Laboratory Director (Non-physician)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: