Phillip A Kissack in Iowa City - Dietitian, Registered
Phillip A Kissack - NPI 1376530030
Phillip A Kissack is a Dietitian, Registered in Iowa City, Iowa. Phillip A Kissack practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Phillip A Kissack is 1376530030. The last update date is 2007-07-08.
Phillip A Kissack's current location address is 200 Hawkins Dr, Iowa City, Iowa. You can contact this provider via phone number 3193846204 and fax number 3193568674. The mailing address for Phillip A Kissack is 200 Hawkins Dr, Iowa City, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phillip A Kissack |
|---|---|
| Address | 200 Hawkins Dr, Iowa City, Iowa |
| Phone Number | 3193846204 |
| Fax Number | 3193568674 |
| Sole Proprietor | X |
| Credentials | RD LD |
NPI Number Detail
| NPI Number | 1376530030 |
|---|---|
| Provider Enumeration Date | 2005-09-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 200 Hawkins Dr |
|---|---|
| City | Iowa City |
| State | Iowa (IA) |
| Post Code | 522421009 |
| Phone Number | 3193846204 |
| Fax Number | 3193568674 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | 1464 |
|
Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Phillip A Kissack by the Centers for Medicare & Medicaid Services?
The Phillip A Kissack has been assigned the NPI (National Provider Identifier) 1376530030 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Phillip A Kissack's facilities are situated?
The facilities of Phillip A Kissack are physically located at the following address: 200 Hawkins Dr, Iowa City, IA, 522421009.
What is Phillip A Kissack's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Phillip A Kissack is Dietitian, Registered, and the taxonomy code that classifies this field of practice is 133V00000X.
When did Phillip A Kissack receive its 1376530030 assignment?
The Phillip A Kissack was assigned its 1376530030 on 2005-09-28, which is the date when this unique identifier was issued to the organization.
When was the information related to Phillip A Kissack most recently updated or refreshed?
The details pertaining to the Phillip A Kissack, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.