Kellie Colleen Costello in Papillion - Pediatrics
Kellie Colleen Costello - NPI 1770613275
Kellie Colleen Costello is a Pediatrics in Papillion, Nebraska. Kellie Colleen Costello practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kellie Colleen Costello is 1770613275. The last update date is 2021-01-18.
Kellie Colleen Costello's current location address is 10791 S 72nd St, Papillion, Nebraska. You can contact this provider via phone number 4029322782 and fax number 4029322705. The mailing address for Kellie Colleen Costello is 10791 S 72nd St, Papillion, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kellie Colleen Costello |
|---|---|
| Address | 10791 S 72nd St, Papillion, Nebraska |
| Phone Number | 4029322782 |
| Fax Number | 4029322705 |
| Sole Proprietor | N |
| Credentials | MOTRL |
NPI Number Detail
| NPI Number | 1770613275 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2021-01-18 |
Provider Mailing Address Detail
| Address | 10791 S 72nd St |
|---|---|
| City | Papillion |
| State | Nebraska (NE) |
| Post Code | 680463423 |
| Phone Number | 4029322782 |
| Fax Number | 4029322705 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 225Xp0200X |
| Licence No | 1405 |
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Definition: Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occu |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31535024 | MO | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identification code assigned to Kellie Colleen Costello by the Centers for Medicare & Medicaid Services?
The Kellie Colleen Costello has been issued the NPI (National Provider Identifier) 1770613275. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Kellie Colleen Costello?
The Kellie Colleen Costello is physically situated at 10791 S 72Nd St, in the city of Papillion, state of NE, with the postal code 680463423.
What is Kellie Colleen Costello's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kellie Colleen Costello's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 225Xp0200X.
On what date did Kellie Colleen Costello receive its 1770613275 assignment from the Centers for Medicare & Medicaid Services?
The Kellie Colleen Costello was assigned its 1770613275 on 2007-03-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Kellie Colleen Costello most recently updated or revised?
The details related to Kellie Colleen Costello, including its address, specialty, and other relevant information, were last updated or revised on 2021-01-18.
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