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Kenneth W Costner
Family Nurse Practitioner in Chambersburg, Pennsylvania
NPI 1578597100

Kenneth W Costner is a Family Nurse Practitioner based in Chambersburg, PA and is specialized in Family. Kenneth W Costner practices in Chambersburg, PA. The NPI Number for Kenneth W Costner is 1578597100 and holds a License No. 69312 (Pennsylvania).

The current practice location address for Kenneth W Costner is 1610 Orchard Dr, Chambersburg, PA and can be reached out via phone at 717-261-0929 and via fax at 717-261-0902. You can also correspond with Kenneth W Costner through the mailing address at 785 5TH AVE, CHAMBERSBURG, PA - 17201-4232 (mailing address contact number: ).

Location: 1610 Orchard Dr, Chambersburg, PA, 17201-4232
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578597100
Provider Name
Kenneth W Costner
Credential
Provider Entity Type
Individual
Gender
Male
Address
1610 Orchard Dr, Chambersburg, PA, 17201-4232
Phone Number
717-261-0929
Fax Number
717-261-0902
Provider Enumeration Date
07/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
102982740 05 PA
institution
Provider Business Practice Location Address Details
Address
1610 Orchard Dr
City
Chambersburg
State
Pennsylvania
Zip
17201-9206
Phone Number
717-261-0929
Fax Number
717-261-0902
person
Provider Business Mailing Address Details
Address
785 5Th Ave
City
Chambersburg
State
Pennsylvania
Zip
17201-4232
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
SP013788 (Pennsylvania)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
69312 (West Virginia)
Definition
Definition to come...
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