Individual provider · Type 1 NPI

Joseph Kennedy Costello Iv, MD

General Practice Physician · Omaha, NE

NPI number 1255644787 Active

Practice location

224 N. 49th St. #4A
Omaha, NE 68132

Call (402) 659-4247 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician 208D00000XPENDING (NE)
General Practice Physician Primary 208D00000X25900 (NE)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1255644787

Joseph Kennedy Costello Iv, MD's National Provider Identifier is 1255644787, issued on Jul 26, 2010. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Omaha, NE. The record was last updated on Jan 15, 2013.