Healthcare Provider Details

I. General information

NPI: 1275513236
Provider Name (Legal Business Name): SCOTT R STEELMAN D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2006
Last Update Date: 08/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9151 NE 81ST TER
KANSAS CITY MO
64158-1294
US

IV. Provider business mailing address

9151 NE 81ST TER SUITE 200
KANSAS CITY MO
64158-1294
US

V. Phone/Fax

Practice location:
  • Phone: 816-407-2300
  • Fax:
Mailing address:
  • Phone: 816-407-2300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License NumberR5F99
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: