MR. Joseph Kennedy Costello IV, M.D.

NPI #1255644787 in Omaha, Nebraska

Provider Information

NPI Number: 1255644787
Entity Type: Individual
Name: MR. Joseph Kennedy Costello IV, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Credential: M.D.
Enumeration Date: Jul 26, 2010
Last Updated: Jan 15, 2013

Practice Location

Address: 224 N. 49TH ST. #4A
City: Omaha
State: Nebraska
ZIP Code: 68132
Phone: (402) 659-4247

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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