# STEELE CREEK PHYSICIAN SERVICES PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700760311
- **Authorized official:** DR. KENNETH HEINRICH MD (PRESIDENT/OWNER)
- **Authorized official phone:** (337) 609-1221

## Contact information

- **Practice address:** 1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7453
- **Practice address phone:** (423) 844-1121
- **Mailing address:** 200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
- **Mailing address phone:** (800) 893-9698

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208M00000X | Hospitalist Physician | — | NULL | Yes |
| 208M00000X | Hospitalist Physician | — | — | Yes |
| 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