Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEVIN ROBERT COSTELLO, PA
ActiveMR. KEVIN ROBERT COSTELLO, PA is a Surgical Physician Assistant healthcare provider located in PETERBOROUGH, New Hampshire. NPI 1861441545 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · PETERBOROUGH, NH
Registration Details
- NPI Number
- 1861441545
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 9, 2006 (20.24015194647 yrs)
- Last Updated
- Apr 16, 2012
Practice Information
- Address
-
458 OLD STREET RDSUITE 200PETERBOROUGH, NH, 034581265Browse NH providers · Browse ZIP 03458
- Phone
- 6039242144
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
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.