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

Phillip A Kissack, RDLD

Individual provider Registered Dietitian · NPI 1376530030

Phillip A Kissack, RDLD is a Registered Dietitian in Iowa City, Iowa. Licensed in Iowa. Registered with an NPI since 2005.

Licensed in
IA
In the registry since
2005

Practice location Address checks out

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone: (319) 384-6204
Fax: (319) 356-8674
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 01464 (IA)

Record details

NPI number1376530030
Entity typeIndividual (Type 1)
GenderMale
Credentials RDLD
Sole proprietorNo
NPI enumeratedSeptember 28, 2005
Last updated in NPPESJuly 13, 2026

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