Kacie Jo Costello Moody PA

  • NPI 1841461373
According to our database, the NPI number for Kacie Jo Costello Moody PA is 1841461373 and activated since 16 years ago. Kacie Jo Costello Moody PA is an individual provider who specializes in Physician Assistant, and the primary practice location is 704 Gold Hill Rd, Fort Mill, SC 29715. You can also contact Kacie Jo Costello Moody PA via telephone number is (704) 667-3380. Provider NPI information was last updated on 09/19/2017.

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Overview of Kacie Jo Costello Moody PA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 03/12/2008
  • Last updated: 09/19/2017

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 1295
  • License State: SC

Provider Mailing Address

  • Address: Po Box 602148
    Charlotte, NC 28260
  • Phone: (704) 667-3380
  • Fax: 704-667-3381

Provider Practice Location

  • Address: 704 Gold Hill Rd
    Suite 1200
    Fort Mill, SC 29715
  • Phone: 704-667-3380
  • Fax: 704-667-3381

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 1295
  • License State: SC
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 1841461373
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: NC
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Kacie Jo Costello Moody PA?
  • A: The npi number for Kacie Jo Costello Moody PA is 1841461373.
  • Q: What are Kacie Jo Costello Moody PA's specialties?
  • A: Kacie Jo Costello Moody PA's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Kacie Jo Costello Moody PA?
  • A: The medical license number for Kacie Jo Costello Moody PA is 1295 and issued in SC in USA.
  • Q: Where is Kacie Jo Costello Moody PA practice location?
  • A: Kacie Jo Costello Moody PA is practicing at 704 Gold Hill Rd, Fort Mill, SC 29715.
  • Q: How to contact Kacie Jo Costello Moody PA?
  • A: You can contact Kacie Jo Costello Moody PA via 704-667-3380.