KRISTOPHER COSTELLO CRNA
Individual Provider (NPI-1)
Active
Nurse Anesthetist, Certified Registered
Provider Information
- NPI Number
1629586649- Provider Type
- Individual Provider (NPI-1)
- Credentials
- CRNA
- Status
- Active
Contact & Location
- Address
- 3001 AVENUE A, DODGE CITY, KS, 678012270
- Phone
- (620) 225-8400
Specialties & Taxonomies
Nurse Anesthetist, Certified Registered
Primary License: KS #TMP-155882