KEVIN FRANCIS COSTELLO

CHARLOTTE, NC
NPI1215170204
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208VP0014X Pain Medicine, Interventional Pain Medicine
(Licence: NC  2016-01841)
Additional Taxonomies207L00000X Anesthesiology
(Licence: VA  0101256526)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2009-04-07
Last Update Date2016-09-07
Business Address
Dr. KEVIN FRANCIS COSTELLO M.D.
927 EAST BLVD
CHARLOTTE, NC 28203-5203
Phone number: 704-377-5772
Mailing Address
Dr. KEVIN FRANCIS COSTELLO M.D.
927 EAST BLVD.
CHARLOTTE, NC 28203-5203
Phone number: 704-377-5772