Individual provider · Type 1 NPI

Kent James Costello, PA

Physician Assistant · Bradford, PA

NPI number 1992272033 Active

Practice location

195 Pleasant St Unit 5
Bradford, PA 16701-1081

Call (814) 362-5701 Map

Fax (814) 362-5702

Mailing address

908 Niagara Falls Blvd Ste 208
North Tonawanda, NY 14120-2019

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X025316 (NY)
Physician Assistant Primary 363A00000XMA061922 (PA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1992272033

Kent James Costello, PA's National Provider Identifier is 1992272033, issued on Oct 26, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bradford, PA. The record was last updated on Jun 17, 2025.