Mary Colleen Costello
Pediatrician Emergency Physician Pediatric Emergency Doctor
2018 W Clinch Ave
Knoxville
, Tennessee 37916-2301
Mary Colleen Costello
Pediatrician Emergency Physician Pediatric Emergency Doctor
2018 W Clinch Ave
Knoxville
, Tennessee 37916-2301
(865) 292-3015
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About
Features
Specialties
- Emergency Physician
- Pediatrician
- Pediatric Emergency Doctor
Languages spoken
- English
Location
First Address
- Mary Colleen Costello
- Po Box 634706
- Cincinnati, OH
- Zip : 45263-4706
- Fax : (865) 292-3015
- Phone : (865) 292-3000
Second Address
- Mary Colleen Costello
- 2018 W Clinch Ave
- Knoxville, TN
- Zip : 37916-2301
- Fax : (865) 985-7077
- Phone : (865) 541-8000
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FAQs
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Is Mary Colleen Costello accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207P00000X | Emergency Physician | MD47246 | TN |
| N | 208000000X | Pediatrician | MD47246 | TN |
| Y | 2080P0204X | Pediatric Emergency Doctor | MD47246 | TN |
National Provider Identifier
| NPI | 1306138672 |
|---|---|
| Provider Name | Mary Colleen Costello |
| First Address | Cincinnati, OH 45263-4706 |
| Second Address | Knoxville, TN 37916-2301 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/05/2011 |
| Last Update Date | 23/01/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.