Individual
MRS. ESTHER E COSTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4002 KRESGE WAY, SUITE 100, LOUISVILLE, KY 40207
(502) 897-1121
(502) 897-1189
Mailing address
4002 KRESGE WAY, SUITE 100, LOUISVILLE, KY 40207
(502) 897-1121
(502) 897-1189
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23150
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000051874
ANTHEM
KY
01
—
110168163
RR MEDICARE
—
05
—
64231509
—
KY
Enumeration date
07/28/2006
Last updated
03/07/2023
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