Costello, Kellie Colleen

Costello, Kellie Colleen is an individual health care provider with primary practice located at 10601 S 72Nd St Ste 103 , Papillion NE 68046-3408. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Costello, Kellie Colleen can be contacted via phone (402) 932-2782.

Contact Information

Primary practice address
10601 S 72Nd St Ste 103 Papillion NE 68046-3408
Phone: (402) 932-2782
Fax: (402) 932-2705
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 1405 Nebraska

Profile Details

NPI number 1770613275
LBN Legal business name Costello, Kellie Colleen
Credentials MOTRL
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Jan 18th, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1770613275 NPPES
Missouri Other 31535024 BLUE CROSS BLUE SHIELD

Popular Providers