Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICHARD LEE KISSACK
Active Sole ProprietorRICHARD LEE KISSACK is a Community/Behavioral Health healthcare provider located in GRAND ISLAND, Nebraska. NPI 1639839137 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · GRAND ISLAND, NE
Registration Details
- NPI Number
- 1639839137
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 23, 2021 (4.6209385606761 yrs)
- Last Updated
- Dec 23, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
1811 W. 2ND ST.SUITE 450GRAND ISLAND, NE, 688037543Browse NE providers · Browse ZIP 68803
- Phone
- 3083798619
- Primary Specialty
-
Community/Behavioral Health
251S00000X
Other Community/Behavioral Health Providers in GRAND ISLAND, NE
| Name | Credential | NPI |
|---|---|---|
| TREY A KISSACK | — | 1417617911 |
| STEPHANIE DETAMORE | — | 1295489557 |
| ALISHA N THOMPSON | MSW | 1013748326 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.