KELLY L COSTELLO (NPI# 1801828884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801828884 |
| Entity Type | Individual |
| Full Name | KELLY L COSTELLO |
| Credential | MD |
| Practice Address |
401 N 17th St Suite 203 Allentown PA 18104-5034 |
| Mailing Address |
Po Box 1754 Allentown PA 18105-1754 |
| Practice Telephone | 6108214920 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2011-04-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD059048L | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194177949 | Kelly Lynn Costello | Behavioral Analyst | 4103 Lester Ct, Alexandria, VA 22311-1121 | 2016-07-05 |
| 1295192268 | Kelly Costello | Developmental Therapist | 1501 Frost Rd, Mechanicsburg, PA 17055-5134 | 2016-01-21 |
| 1659507226 | Kelly N Costello | Occupational Therapist | 4622 40th Ave S Ste B, Fargo, ND 58104-4394 | 2009-06-09 |
| 1194237495 | Kelly Marie Costello | Pharmacist | 1200 W Fayette Ave, Effingham, IL 62401-1913 | 2017-10-26 |
| 1497159412 | Kelly Costello | Counselor | 1714 Jarrettsville Rd, Jarrettsville, MD 21084-1524 | 2014-10-20 |
| 1780011932 | Kelly Costello | Social Worker | 2500 18th St, San Francisco, CA 94110-2109 | 2013-10-02 |
| 1588858039 | Kelly L Costello | Dietitian, Registered | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2007-08-28 |
| 1639389448 | Kelly E Costello | Counselor | 95 Pleasant St, Lynn, MA 01901-1524 | 2007-05-23 |
| Street Address |
401 N 17TH ST SUITE 203 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18104-5034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366445827 | Walters Pharmacy Inc | Pharmacy | 401 N 17th St, Suite 102, Allentown, PA 18104-5034 | 2005-05-27 |
| 1306385018 | Rebecca Aul | Nurse Practitioner | 401 N 17th St, Suite 211, Allentown, PA 18104-5034 | 2017-02-14 |
| 1922477678 | Lehigh Valley Physician Group | Otolaryngology | 401 N 17th St, Ste 210, Allentown, PA 18104-5034 | 2015-09-23 |
| 1093120701 | Radoslav Ivanov | Optometrist | 401 N 17th St, Suite 103, Allentown, PA 18104-5034 | 2014-06-23 |
| 1487067427 | Alexandra Lynn Mercurio-woch | Optometrist | 401 N 17th St, Suite 103, Allentown, PA 18104-5034 | 2014-06-07 |
| 1750727434 | Tasha Reck | Audiologist | 401 N 17th St, Suite 210, Allentown, PA 18104-5034 | 2013-05-21 |
| 1306109459 | Dalya Adel El Tawil | Pediatrics | 401 N 17th St, Suite 203, Allentown, PA 18104-5034 | 2012-06-22 |
| 1215266945 | Julie N Rohe | Physician Assistant | 401 N 17th St, Ste 307, Allentown, PA 18104-5034 | 2009-12-08 |
| 1265676852 | Lehigh Valley Physician Group | Internal Medicine | 401 N 17th St, Suite 201, Allentown, PA 18104-5034 | 2009-04-27 |
| 1467696054 | Lehigh Valley Physician Group | Internal Medicine | 401 N 17th St, Suite 202, Allentown, PA 18104-5034 | 2009-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174134191 | The Calm Space LLC | Social Worker | 2047 Pa-309, Allentown, PA 18104 | 2020-08-13 |
| 1790333458 | Loanna T Nguyen | Nurse Practitioner | 2895 Halmilton Blvd, Suite 202, Allentown, PA 18104 | 2019-08-27 |
| 1093360513 | Meghan Paul | Pharmacist | 1727 W Liberty Street, Unit 2, Allentown, PA 18104 | 2019-08-02 |
| 1750948154 | Patricia Terreros | Counselor | 3057 College Heights Blvd Suite Ll, Allentown, PA 18104 | 2019-05-22 |
| 1023593084 | Hearvana | Clinic/Center | 2200 Wets Hamilton Street Suite 311, Allentown, PA 18104 | 2018-09-26 |
| 1700397098 | Amanda L Sellers | Psychologist | 121 N Cedar Crest Blvd Ste A, Allentown, PA 18104 | 2017-10-13 |
| 1689104457 | Craig Ryan Miller | Physical Therapist | 1651 N Cedar Crest Blvd Ste 100, Allentown, PA 18104 | 2017-06-14 |
| 1780128207 | Brandi Nicole Burns | Pediatrics | 1517 Pond Road, Allentown, PA 18104 | 2016-12-19 |
| 1750824264 | William Edward Thawley | Pharmacist | 322 N 7th St., Allentown, PA 18104 | 2016-12-01 |
| 1609222371 | Extremity Mri Inc | Radiologic Technologist | 3131 College Heights Blvd Ste 400, Allentown, PA 18104 | 2016-05-11 |
| Find all providers in zip 18104 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659808640 | Rachel Robertson | Pediatrics | 1200 S Cedar Crest Blvd Fl 6, Allentown, PA 18103-6202 | 2017-05-22 |
| 1780128207 | Brandi Nicole Burns | Pediatrics | 1517 Pond Road, Allentown, PA 18104 | 2016-12-19 |
| 1942612833 | Swati R Chanchani | Pediatrics | 932 N 32nd St, Allentown, PA 18104-3406 | 2014-05-27 |
| 1326288796 | Stephanie Rita Straka | Pediatrics | 501 Cetronia Rd Ste 115, Allentown, PA 18104-9569 | 2009-02-25 |
| 1538315783 | John Edward Kenvin | Pediatrics | 1433 Cedarwood Rd, Allentown, PA 18104-2111 | 2008-08-07 |
| 1265614457 | Charles Francis Kelley Jr. | Pediatrics | 1087 Oldstone Rd, Allentown, PA 18103-4686 | 2007-11-29 |
| 1952472045 | Debra Esernio-jenssen | Pediatrics | 17th & Chew, Children's Clinic - Child Advocacy, Allentown, PA 18105-7017 | 2006-11-13 |
| 1962599415 | Ophira Silbert | Pediatrics | Lehigh Valley Hospital, Cedar Crest & I-78, Division of Neonatology, Allentown, PA 18105-1556 | 2006-10-06 |
| 1588670418 | Charles Franklin Smith Sr. | Pediatrics | 1450 Wethersfield Dr, Allentown, PA 18104-1956 | 2006-07-31 |
| 1851323224 | Richard Mazzaccaro | Pediatrics | Cedar Crest Blvd & I-78, Allentown, PA 18103 | 2006-07-07 |
| Find all providers in ALLENTOWN | ||||
Please comment or provide details below to improve the information on KELLY L COSTELLO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.