Costello, Kimberly

Costello, Kimberly is an individual health care provider with primary practice located at 1901 E Meadowmere St , Springfield MO 65804-0320. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Costello, Kimberly can be contacted via phone (417) 832-9222.

Contact Information

Primary practice address
1901 E Meadowmere St Springfield MO 65804-0320
Fax: (417) 832-2151
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1962279430
LBN Legal business name Costello, Kimberly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2023
Last updated Dec 5th, 2023 - about 2 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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