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Thomas Michael Costello JR., REPT,CNIM
EEG Technician in Louisville, Kentucky
NPI 1770064784

Thomas Michael Costello JR. is a EEG Technician based in Sellersburg, KY and is specialized in EEG. Thomas Michael Costello JR. practices in Louisville, KY and has the professional credentials of REPT,CNIM. The NPI Number for Thomas Michael Costello JR. is 1770064784 and holds a License No. (Kentucky).

The current practice location address for Thomas Michael Costello JR. is 200 E Chestnut St, Louisville, KY and can be reached out via phone at 502-629-4800.

Location: 200 E Chestnut St, Louisville, KY, 47172-9172
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770064784
Provider Name
Thomas Michael Costello JR.
Credential
REPT,CNIM
Provider Entity Type
Individual
Gender
Male
Address
200 E Chestnut St, Louisville, KY, 47172-9172
Phone Number
502-629-4800
Fax Number
Provider Enumeration Date
08/27/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
200 E Chestnut St
City
Louisville
State
Kentucky
Zip
40202-1831
Phone Number
502-629-4800
Fax Number
person
Provider Business Mailing Address Details
Address
200 E Chestnut St
City
Louisville
State
Kentucky
Zip
40202-1831
Phone Number
502-629-4800
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Other
Speciality
EEG
Taxonomy
2472E0500X
License No.
()
Definition
Definition to come...
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