Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENT JAMES COSTELLO, PA
Active Sole ProprietorKENT JAMES COSTELLO, PA is a Physician Assistant healthcare provider located in BRADFORD, Pennsylvania. NPI 1992272033 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BRADFORD, PA
Registration Details
- NPI Number
- 1992272033
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 26, 2018 (7.7596961194434 yrs)
- Last Updated
- Jun 17, 2025
- Licenses
-
025316 (NY)MA061922 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
195 PLEASANT ST UNIT 5BRADFORD, PA, 167011081Browse PA providers · Browse ZIP 16701
- Phone
- 8143625701
- Fax
- 8143625702
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in BRADFORD, PA
| Name | Credential | NPI |
|---|---|---|
| MR. JAMES BOYER | RPA-C | 1104824853 |
| NICOLE ACKLEY | PA | 1689763351 |
| WENDY LYNNE DENNIS | PA-C | 1629200563 |
| TRACY LYNN ANDRUS | PA-C | 1245781426 |
| MARY SIEPIERSKI | PA-C | 1396275970 |
| LEXANDRIA PASCARELLA | PA | 1528541869 |
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.