Costner, Kenneth W

Costner, Kenneth W is an individual health care provider with primary practice located at 1610 Orchard Dr , Chambersburg PA 17201-9206. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Costner, Kenneth W can be contacted via phone (717) 261-0929.

Contact Information

Primary practice address
1610 Orchard Dr Chambersburg PA 17201-9206
Phone: (717) 261-0929
Fax: (717) 261-0902
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 69312 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP013788 Pennsylvania

Profile Details

NPI number 1578597100
LBN Legal business name Costner, Kenneth W
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Dec 16th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578597100 NPPES
Pennsylvania MEDICAID 102982740

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