Individual
KRISTEN C COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1625 N GEORGE MASON DR STE 345, ARLINGTON, VA 22205-3690
(703) 717-4400
(703) 717-4401
Mailing address
1625 N GEORGE MASON DR STE 345, ARLINGTON, VA 22205-3690
(703) 717-4400
(703) 717-4401
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110005601
VA
363A00000X
Physician Assistant
3145-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033557897
—
WI
Enumeration date
06/13/2013
Last updated
03/28/2022
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