NPI 1255644787

Joseph Kennedy Costello, MD

Practitioner General Practice Physician Omaha, NE

Practice location

Address: 224 N. 49th St. #4a, Omaha, NE 68132
Phone: (402) 659-4247

Registered specialties (2)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 25900 (NE)

Other General Practice providers in Nebraska →

General Practice Physician

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence PENDING (NE)

Registry record

NPI: 1255644787
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jul 2010
Record last updated: 15 Jan 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.