Trey A Kissack
Trey A Kissack is a Community/Behavioral Health Agency in Grand Island, Nebraska. Practices as a sole proprietor. Licensed in Nebraska.
- Licensed in
- NE
- In the registry since
- 2021
Practice location Address checks out
1811 W 2nd St Ste 450Grand Island, NE 68803-5473
Phone: (308) 379-8619
Fax: (308) 675-2690
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X (NE) |
|---|
Record details
| NPI number | 1417617911 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 23, 2021 |
| Last updated in NPPES | December 23, 2021 |
| Certification date | December 23, 2021 |
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