Bass, Kelly Costopoulos

Bass, Kelly Costopoulos is an individual health care provider with primary practice located at 9800 S Healthpark Dr Ste 320 , Fort Myers FL 33908-3630. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Bass, Kelly Costopoulos can be contacted via phone (239) 343-6350.

Contact Information

Primary practice address
9800 S Healthpark Dr Ste 320 Fort Myers FL 33908-3630
Phone: (239) 343-6350
Fax: (239) 343-4738
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME168153 Florida

Profile Details

NPI number 1134626807
LBN Legal business name Bass, Kelly Costopoulos
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2018
Last updated Jun 22nd, 2024 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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