Kinsey Costello
Individual provider Active NPI Case Manager/Care Coordinator · Clinton, MS
NPI 1699465401 · NPPES record last updated May 15, 2023
Key facts
- NPI
- 1699465401
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 604 Highway 80 W Ste R
Clinton, MS 39056-4108 - Phone
- (601) 473-2106
- NPI assigned
- May 15, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
604 Highway 80 W Ste R
Clinton, MS 39056-4108
Mailing address
604 Highway 80 W Ste R
Clinton, MS 39056-4108
Phone (601) 472-2106
Other providers in Clinton, MS
- Dante Sebastian Collado
- Lauren Michelle Collins
- Copd Pharmacy Consultants LLC
- Natalia Corales
- Emily Cork
- Kimberly Course
- Jessie M Coy
- Anita Craft
- Creative Sisters Counseling LLC
- Dru Fulton Crenshaw
All providers in Clinton, MS · Case Manager/Care Coordinator in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.