Active NPIIndividual provider

Mr. Kevin R Costello, PA

Physician Assistant, Surgical in Peterborough, New Hampshire

NPI Number1861441545
Practice location
458 Old Street RD, Suite 200, Peterborough, NH 03458-1265
Fax
—
Last updated
April 16, 2012

Kevin Robert Costello is a Physician Assistant, Surgical based in Peterborough, NH. Kevin Robert Costello practices in Peterborough, NH and has the professional credentials of PA. The NPI Number for Kevin Robert Costello is 1861441545. The current practice location address for Kevin Robert Costello is 458 Old Street RD, Suite 200, Peterborough, NH 03458-1265 and can be reached out via phone at 603-924-2144.

Provider Profile Details

NPI Number
1861441545
Provider Name
Kevin Robert Costello
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
458 Old Street RD, Suite 200, Peterborough, NH 03458-1265
Phone Number
603-924-2144
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
May 9, 2006
Last Update Date
April 16, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
458 Old Street RD
Suite 200
Peterborough, NH 03458-1265
Zip
03458-1265
Phone Number
603-924-2144
Peterborough, NH 03458Get directions →

Provider Business Mailing Address Details

Address
458 Old Street RD
Suite 200
Peterborough, NH 03458-1265
City
Peterborough
State
NH
Zip
03458-1265
Phone Number
603-924-2144

License Information

Taxonomy
Physician Assistant, Surgical · 363AS0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Kevin R Costello, PA?

The NPI number of Mr. Kevin R Costello, PA is 1861441545. It was assigned on May 9, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Kevin R Costello, PA?

Mr. Kevin R Costello, PA is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X).

Where does Mr. Kevin R Costello, PA practice?

The practice location is 458 Old Street RD, Suite 200, Peterborough, NH 03458-1265. The office can be reached at 603-924-2144 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1861441545 directly on the NPPES registry website.

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