MEDICARE: DR. KATHRYN LYNN STEELE DC

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
1	111N00000X	Chiropractor	DC007147L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	STE265630	OTHER	PA	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1326082595
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHRYN LYNN STEELE DC

Provider Business Mailing Address
First Line	:	2205 MT ROYAL BLVD
Second Line	:
City	:	GLENSHAW
State	:	PA
Zip	:	15116
Country	:	US
Telephone Number	:	724-494-3105
Fax Number	:

Provider Business Practice Location Address
First Line	:	2205 MT ROYAL BLVD
Second Line	:
City	:	GLENSHAW
State	:	PA
Zip	:	15116
Country	:	US
Telephone Number	:	724-494-3105
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	07/08/2007

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