=====================================================
General NPI Number Information
=====================================================
NPI Number | 1619016375
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SALTERS CREEK MEDICAL GROUP
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/06/2007
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 183 WOODLAND ROAD
-----------------------------------------------------
City | HAMPTON
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23663
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 757-723-1899
-----------------------------------------------------
Fax | 757-723-5425
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 100 BRIDGE STREET #D
-----------------------------------------------------
City | HAMPTON
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23669
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 757-723-1899
-----------------------------------------------------
Fax | 757-723-5425
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRES
-----------------------------------------------------
Name | KEVIN S STEELE
-----------------------------------------------------
Credential | DC
-----------------------------------------------------
Telephone | 757-812-9809
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | 0101053117
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 0104001272
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------