Lookup NPI Numbers from the NPI Registry
NPI Profile for KELLY A COSTELLO in DULUTH, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI # | 1679307193 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 08/27/2024 | |
| Last updated | 08/27/2024 - More than a year ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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KELLY A COSTELLO
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KELLY A COSTELLO