Costello, Kent James
Costello, Kent James is an sole proprietor health care provider with primary practice located at 195 Pleasant St Unit 5 , Bradford PA 16701-1081. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Costello, Kent James can be contacted via phone (814) 362-5701.Contact Information
Primary practice address
195 Pleasant St Unit 5
Bradford PA 16701-1081
Phone: (814) 362-5701
Fax: (814) 362-5702
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 025316 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | MA061922 | Pennsylvania |
Profile Details
| NPI number | 1992272033 |
|---|---|
| LBN Legal business name | Costello, Kent James |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 26th, 2018 |
| Last updated | Oct 19th, 2020 - 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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