Healthcare Provider Details

I. General information

NPI: 1619016375
Provider Name (Legal Business Name): SALTERS CREEK MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

183 WOODLAND ROAD
HAMPTON VA
23663
US

IV. Provider business mailing address

100 BRIDGE STREET #D
HAMPTON VA
23669
US

V. Phone/Fax

Practice location:
  • Phone: 757-723-1899
  • Fax: 757-723-5425
Mailing address:
  • Phone: 757-723-1899
  • Fax: 757-723-5425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number0104001272
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101053117
License Number StateVA

VIII. Authorized Official

Name: KEVIN S STEELE
Title or Position: PRES
Credential: DC
Phone: 757-812-9809