Individual
KIMBERLEY COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1496 POWER STATION HWY, MOUNT STORM, WV 26739-8689
(304) 216-2945
Mailing address
1496 POWER STATION HWY, MOUNT STORM, WV 26739-8689
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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