Kent James Costello, PA
NPI #1992272033 in Bradford, Pennsylvania
Provider Information
- NPI Number
- 1992272033
- Entity Type
- Individual
- Name
- Kent James Costello, PA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Oct 26, 2018
- Last Updated
- Jun 17, 2025
Practice Location
- Address
- 195 PLEASANT ST UNIT 5
- City
- Bradford
- State
- Pennsylvania
- ZIP Code
- 16701-1081
- Phone
- (814) 362-5701
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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