MR. Kenneth Patrick Costello

NPI #1265586572 in Brentwood, Missouri

Provider Information

NPI Number: 1265586572
Entity Type: Individual
Name: MR. Kenneth Patrick Costello
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jan 23, 2007
Last Updated: Jul 1, 2020

Practice Location

Address: 2937 S BRENTWOOD BLVD
City: Brentwood
State: Missouri
ZIP Code: 63144
Phone: (314) 961-3804

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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