Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kanoelani Costalez

Individual provider Technician · NPI 1902617616

Kanoelani Costalez is a Technician in Edmond, Oklahoma. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

425 S Fretz Ave Ste C
Edmond, OK 73003-5568
Phone: (405) 757-7980
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Technician (primary) Taxonomy 374700000X

Record details

NPI number1902617616
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 14, 2025
Last updated in NPPESJanuary 14, 2025
Certification dateJanuary 14, 2025
Mailing address19501 N Pennsylvania Ave, Edmond, OK 73012-4802

Other providers in Edmond