Costello, Kristopher

Costello, Kristopher is an sole proprietor health care provider with primary practice located at 3001 Avenue A , Dodge City KS 67801-2270. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Costello, Kristopher can be contacted via phone (620) 225-8400.

Contact Information

Primary practice address
3001 Avenue A Dodge City KS 67801-2270
Phone: (620) 225-8400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X TMP-155882 Kansas

Profile Details

NPI number 1629586649
LBN Legal business name Costello, Kristopher
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2018
Last updated Jan 11th, 2018 - 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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