Kissack, Trey A

Kissack, Trey A is an sole proprietor health care provider with primary practice located at 1811 W. 2Nd Street, Suite 450, Grand Island NE 68803-5473. He recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as his primary health care specialty. Kissack, Trey A can be contacted via phone (308) 379-8619.

Contact Information

Primary practice address
1811 W. 2Nd Street, Suite 450 Grand Island NE 68803-5473
Phone: (308) 379-8619
Fax: (308) 675-2690
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X Nebraska

Profile Details

NPI number 1417617911
LBN Legal business name Kissack, Trey A
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 23rd, 2021
Last updated Dec 23rd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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