Costello, Kimberly A.

Costello, Kimberly A. is an individual health care provider with primary practice located at 3915 Bristol Hwy Ste 301, Johnson City TN 37601-1403. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology is her primary health care specialty. Costello, Kimberly A. can be contacted via phone (423) 262-0020.

Contact Information

Primary practice address
3915 Bristol Hwy Ste 301 Johnson City TN 37601-1403
Phone: (423) 262-0020
Fax: (423) 262-0057
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology 2251N0400X PT2422 Tennessee
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X PT2422 Tennessee

Profile Details

NPI number 1336143833
LBN Legal business name Costello, Kimberly A.
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated May 19th, 2010 - about 16 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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