CHARLES MARK COSTABELL

LOUISVILLE, KY
NPI1952346025
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: KY  3004487)
Enumeration Date2006-06-20
Last Update Date2018-04-05
Business Address
CHARLES MARK COSTABELL CRNA
200 ABRAHAM FLEXNER WAY ANESTHESIA DEPT
LOUISVILLE, KY 40202-1818
Phone number: 502-587-4203
Mailing Address
CHARLES MARK COSTABELL CRNA
100 E LIBERTY ST STE 800
LOUISVILLE, KY 40202-1428
Phone number: 502-587-4404
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