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Organization
STEELE CREEK PHYSICIAN SERVICES PC
Active
Organization
STEELE CREEK PHYSICIAN SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH HEINRICH MD (PRESIDENT/OWNER)
(337) 609-1221
Entity
Organization
Contact information
Practice address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7453
(423) 844-1121
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
NULL
208M00000X
Hospitalist Physician
Primary
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/05/2025
Last updated
10/20/2025
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