Bennett, Mary Keely Costello

Bennett, Mary Keely Costello is an individual health care provider with primary practice located at 1250 E Marshall St Emergency Medicine, Richmond VA 23298-5051. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Bennett, Mary Keely Costello can be contacted via phone (804) 828-5650.

Contact Information

Primary practice address
1250 E Marshall St Emergency Medicine Richmond VA 23298-5051
Phone: (804) 828-5650
Fax: (804) 828-4686
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 0024170989 Virginia

Profile Details

NPI number 1417398124
LBN Legal business name Bennett, Mary Keely Costello
Credentials AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2013
Last updated Feb 7th, 2019 - about 6 years 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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