Trey A Kissack
NPI #1417617911 in Grand Island, Nebraska
Provider Information
- NPI Number
- 1417617911
- Entity Type
- Individual
- Name
- Trey A Kissack
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Dec 23, 2021
- Last Updated
- Dec 23, 2021
Practice Location
- Address
- 1811 W. 2ND STREET,
- Address 2
- SUITE 450
- City
- Grand Island
- State
- Nebraska
- ZIP Code
- 68803-5473
- Phone
- (308) 379-8619
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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| Provider Name | |
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| Alisha N Thompson, MSW |  AI Deep Dive |
| Stephanie Detamore | AI Deep Dive |
| Richard Lee Kissack | AI Deep Dive |
Organizations
| Provider Name | |
|---|---|
| Visinet, Inc. | AI Deep Dive |
| Specialized Outpatient Services Part of Specialized Outpatient Services LLC | AI Deep Dive |
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