PHILLIP KISSACK, RD LD
Dietitian, Registered
Active
Individual
NPI: 1376530030
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dietitian, Registered | 133V00000X | Yes | 01464 (IA) |
Frequently Asked Questions
NPI 1376530030 is the National Provider Identifier for PHILLIP KISSACK, RD LD, a Dietitian, Registered provider located in Iowa City, IA. This NPI was enumerated on September 28, 2005.
PHILLIP KISSACK, RD LD practices at 200 HAWKINS DR, Iowa City, IA 52242.
Quick Facts
- NPI
- 1376530030
- Type
- Individual
- Enumerated
- Sep 28, 2005
- Last Updated
- Jul 8, 2007
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