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

Omer J Kissi

Individual provider Contractor · NPI 1295015105

Omer J Kissi is a Contractor in Brooklyn Park, Minnesota. Licensed in Minnesota. Registered with an NPI since 2011.

Licensed in
MN
In the registry since
2011
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Practice location Address checks out

6916 91st Trl N
Brooklyn Park, MN 55445-3247
Phone: (612) 978-4984
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence 376397 (MN)

Record details

NPI number1295015105
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 23, 2011
Last updated in NPPESAugust 23, 2011

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