What is Trey Kissack's NPI number?

Trey Kissack's National Provider Identifier (NPI) is 1417617911, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Trey Kissack's specialty?

Trey Kissack is listed in the NPPES registry with a primary specialty of Community/Behavioral Health Agency (Agencies).

Where is Trey Kissack located?

Trey Kissack's practice location on file with NPPES is 1811 W. 2nd Street,, Grand Island, NE 68803-5473.

What is Trey Kissack's phone number?

The practice phone number listed in the NPPES registry for Trey Kissack is (308) 379-8619.

Is Trey Kissack's NPI active?

Yes — Trey Kissack's NPI (1417617911) is active in the NPPES registry as of the last update on 2021-12-23.

IndividualActive

Trey Kissack

NPI 1417617911 · Community/Behavioral Health Agency · Grand Island, NE

Trey Kissack is a Community/Behavioral Health Agency provider in Grand Island, NE (NPI 1417617911).

Provider details

NPI number: 1417617911
Entity type: Individual
Primary specialty: Community/Behavioral Health AgencyAgencies
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Community/Behavioral Health AgencyPrimary251S00000X
Agencies

Profile Score

Established profile(55/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
4 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1811 W. 2nd Street,

Suite 450

Grand Island, NE 68803-5473

Phone: (308) 379-8619

Fax: (308) 675-2690

Street-level locationGet directions

More NE providers

Mailing address