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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RICHARD LEE KISSACK

Active Sole Proprietor

RICHARD 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 450
GRAND ISLAND, NE, 688037543
Browse 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.