Costello, Kelly L
Costello, Kelly L is an sole proprietor health care provider with primary practice located at 2450 Riverside Ave , Minneapolis MN 55454-1450. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Pediatric, which is considered as her primary health care specialty. Costello, Kelly L can be contacted via phone (612) 273-0069.Contact Information
Primary practice address
2450 Riverside Ave
Minneapolis MN 55454-1450
Phone: (612) 273-0069
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutrition, Pediatric | 133VN1004X | 1690 | Minnesota |
Profile Details
| NPI number | 1588858039 |
|---|---|
| LBN Legal business name | Costello, Kelly L |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 28th, 2007 |
| Last updated | Nov 30th, 2012 - about 12 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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