Individual
JESSICA COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
216 W JOHN FITCH AVE, BARDSTOWN, KY 40004-1115
(502) 348-4714
(502) 348-4716
Mailing address
216 W JOHN FITCH AVE, BARDSTOWN, KY 40004-1115
(502) 348-4714
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
290878
KY
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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