Richard Lee Kissack
NPI #1639839137 in Grand Island, Nebraska
Provider Information
- NPI Number
- 1639839137
- Entity Type
- Individual
- Name
- Richard Lee 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 ST.
- Address 2
- SUITE 450
- City
- Grand Island
- State
- Nebraska
- ZIP Code
- 68803-7543
- Phone
- (308) 379-8619
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
Similar Providers
Individual Providers
| Provider Name | |
|---|---|
| Alisha N Thompson, MSW | |
| Stephanie Detamore | |
| Trey A Kissack |
Organizations
| Provider Name | |
|---|---|
| Visinet, Inc. | |
| Specialized Outpatient Services Part of Specialized Outpatient Services LLC |
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