Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY L COSTELLO, RD
Active Sole ProprietorKELLY L COSTELLO, RD is a Pediatric Nutrition healthcare provider located in MINNEAPOLIS, Minnesota. NPI 1588858039 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nutrition · MINNEAPOLIS, MN
Registration Details
- NPI Number
- 1588858039
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 28, 2007 (18.931625041931 yrs)
- Last Updated
- Nov 30, 2012
- License
-
1690 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2450 RIVERSIDE AVEMINNEAPOLIS, MN, 554541450Browse MN providers · Browse ZIP 55454
- Phone
- 6122730069
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
Other Pediatric Nutrition Providers in MINNEAPOLIS, MN
| Name | Credential | NPI |
|---|---|---|
| LAURA GEARMAN | MS, RD, LD | 1275821761 |
| ERIKA SWANT | MPH, RDN | 1326705369 |
| MEGAN EDELMAN | MS, RD, LD | 1447931936 |
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.