Kelly L Costello in Minneapolis - Nutrition, Pediatric
Kelly L Costello - NPI 1588858039
Kelly L Costello is a Nutrition, Pediatric in Minneapolis, Minnesota. Kelly L Costello practices all healthcare services and medical treatments related to Nutrition, Pediatric. The NPI Number for Kelly L Costello is 1588858039. The last update date is 2012-11-30.
Kelly L Costello's current location address is 6041 4th Ave S, Minneapolis, Minnesota. You can contact this provider via phone number 6129109579. The mailing address for Kelly L Costello is 6041 4th Ave S, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly L Costello |
|---|---|
| Address | 6041 4th Ave S, Minneapolis, Minnesota |
| Phone Number | 6129109579 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | RD |
NPI Number Detail
| NPI Number | 1588858039 |
|---|---|
| Provider Enumeration Date | 2007-08-28 |
| Last Updated Date | 2012-11-30 |
Provider Mailing Address Detail
| Address | 6041 4th Ave S |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554192510 |
| Phone Number | 6129109579 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Pediatric |
|---|---|
| Taxonomy | 133Vn1004X |
| Licence No | 1690 |
|
Definition: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kelly L Costello by the Centers for Medicare & Medicaid Services?
The Kelly L Costello has been assigned the NPI (National Provider Identifier) 1588858039 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Kelly L Costello is physically located?
The Kelly L Costello is situated at the following address: 6041 4Th Ave S, Minneapolis, MN 554192510.
What is Kelly L Costello's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kelly L Costello is Nutrition, Pediatric, and the corresponding taxonomy classification code for this specialized field is 133Vn1004X.
On what date did the Kelly L Costello receive its 1588858039 assignment from the Centers for Medicare & Medicaid Services?
The Kelly L Costello was assigned its 1588858039 by the Centers for Medicare & Medicaid Services on 2007-08-28.
As of what date were the details pertaining to Kelly L Costello last refreshed?
The information related to the Kelly L Costello, including its address, specialty, and other relevant details, was last updated on 2012-11-30.
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