Individual
DR. KEVIN FRANCIS COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2430 EMERALD PL STE 201, GREENVILLE, NC 27834-5743
(704) 862-4700
(704) 862-4749
Mailing address
2430 EMERALD PL STE 201, GREENVILLE, NC 27834-5743
(704) 862-4700
(704) 862-4749
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101256526
VA
208VP0014X
Interventional Pain Medicine Physician
Primary
2016-01841
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2009
Last updated
06/16/2025
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