Individual
CHARLES MARK COSTABELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
200 ABRAHAM FLEXNER WAY, ANESTHESIA DEPT, LOUISVILLE, KY 40202-1818
(502) 587-4203
(502) 587-4155
Mailing address
100 E LIBERTY ST STE 800, LOUISVILLE, KY 40202-1428
(502) 587-4404
(502) 587-4156
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3004487
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200510850
—
IN
05
—
74010026
—
KY
Enumeration date
06/20/2006
Last updated
04/05/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us