KEVIN COSTELLO

FORT BRAGG, NC
NPI1184161994
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: GA  RN245934)
Enumeration Date2017-01-31
Last Update Date2017-01-31
Business Address
-- KEVIN COSTELLO CRNA
2817 REILLY ST WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310-7324
Phone number: 910-907-8922
Mailing Address
-- KEVIN COSTELLO CRNA
2817 REILLY ST WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310-7324
Phone number: 910-907-8922
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