Individual
KERI COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOM
Contact information
Practice address
295 HOPE ST, BRISTOL, RI 02809-2016
(401) 200-8593
Mailing address
31 BURTON ST, BRISTOL, RI 02809-2021
(631) 972-5006
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
317
RI
Other
Enumeration date
05/13/2022
Last updated
05/13/2022
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