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NPI Code Detail

MEDICARE: DR. KYLE STEINEMAN D.C., A.T.C

MEDICARE:  DR. KYLE  STEINEMAN  D.C., A.T.C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic TrainerAL3498FL
2111N00000XChiropractor08002926AIN

General Provider Information

NPI Number : 1154664233
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KYLE STEINEMAN D.C., A.T.C
Provider Business Mailing Address
First Line : 6633 E STATE BLVD
Second Line : SUITE 200
City : FORT WAYNE
State : IN
Zip : 46815-7010
Country : US
Telephone Number : 260-245-0460
Fax Number : 260-245-0770
Provider Business Practice Location Address
First Line : 6633 E STATE BLVD
Second Line : SUITE 200
City : FORT WAYNE
State : IN
Zip : 46815-7010
Country : US
Telephone Number : 260-245-0460
Fax Number : 260-245-0770
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2013
Last Update Date : 09/03/2016

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Directions to “ DR. KYLE STEINEMAN D.C., A.T.C” Practice Location

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