Individual
MS. KAYLA JO COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4815 BURNING TREE RD STE 100, DULUTH, MN 55811-3800
(218) 733-0707
Mailing address
603 REDWOOD AVE, SUPERIOR, WI 54880-7634
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R2003461
MN
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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