Search › Pennsylvania › 363LF0000X
Kenneth Costner
NPI 1578597100 · on the registry since 2006
Practice
- Address
- 1610 Orchard Dr
Chambersburg, PA 17201 - Phone
- (717) 261-0929
- Fax
- (717) 261-0902
- Clinicians at this address
- 7
Additional practice sites
- 24 Antrim Commons Dr, Greencastle, PA
- 24 Antrim Commons Dr, Greencastle, PA
- 1000 Norland Ave, Chambersburg, PA
- 46 Walnut Bottom Rd Ste 100, Shippensburg, PA
- 601 E Main St, Waynesboro, PA
- 993 Wayne Ave, Chambersburg, PA
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363L00000X
- Licence states on file
- WV, PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-12-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania