Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JOSEPH KENNEDY COSTELLO IV, M.D.

Active Sole Proprietor

MR. JOSEPH KENNEDY COSTELLO IV, M.D. is a General Practice healthcare provider located in OMAHA, Nebraska. NPI 1255644787 is currently active in the NPPES registry. Verify at CMS.

General Practice · OMAHA, NE

Registration Details

NPI Number: 1255644787
Provider Type: Individual
Gender: Male
NPI Issued: Jul 26, 2010 (16.02762367541 yrs)
Last Updated: Jan 15, 2013
Licenses: PENDING (NE)

25900 (NE)
Sole Proprietor: Yes

Practice Information

Address: 224 N. 49TH ST. #4A

OMAHA, NE, 68132
Browse NE providers · Browse ZIP 68132
Phone: 4026594247
Primary Specialty: General Practice
208D00000X
Additional Specialty: General Practice

Other General Practice Providers in OMAHA, NE

Name	Credential	NPI
DR. KAY EILEEN TICEN	M.D.	1649372194
ARTHUR WEAVER	D.O.	1285723643
DR. LOUISE WINTER	M.D.	1346339017
DR. RENEE MARIE PIPER	DDS	1386719532
DR. VIJAY KUMAR AGARWAL	M.D.	1033267406
MR. JAMES R BROOKS I	M.D.	1700928082

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.