RICHARD LEE KISSACK

GRAND ISLAND, NE
NPI1639839137
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2021-12-23
Last Update Date2021-12-23
Business Address
RICHARD LEE KISSACK
1811 W. 2ND ST. SUITE 450
GRAND ISLAND, NE 68803-7543
Phone number: 308-379-8619
Mailing Address
RICHARD LEE KISSACK
1811 W. 2ND ST. SUITE 450
GRAND ISLAND, NE 68803-5473
Phone number: 308-379-8619
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