PHILLIP A KISSACK (RD LD) – Registered Dietitian, NPI 1376530030

PHILLIP A KISSACK (RD LD) is a healthcare provider. based in Iowa city, Iowa. specializing in Registered Dietitian. They hold the professional credentials RD LD. They hold a License No. 01464 (IA). The NPI Number for PHILLIP A KISSACK (RD LD) is 1376530030

Main info

Male
Name
PHILLIP A KISSACK (RD LD)
NPI
1376530030
Phone
(319) 384-6204
Address
200 HAWKINS DR
Enumeration Date
28 September 2005
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for PHILLIP A KISSACK (RD LD)

  • University of Iowa Stead Family Children’s Hospital, 200, Hawkins Drive, Iowa City, Johnson County, Iowa, 52242, United States

    IOWA CITY, IA 522421009

    Phone: (319) 384-6204

    Fax: (319) 356-8674

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 52242)

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Reviews

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Frequently asked questions

Does PHILLIP A KISSACK (RD LD) have a public NPI I can cite?
Public records show PHILLIP A KISSACK (RD LD) under NPI 1376530030.
Does the public listing show PHILLIP A KISSACK (RD LD) as active?
PHILLIP A KISSACK (RD LD)'s NPI record reflects an active status in NPPES.
What type of care does PHILLIP A KISSACK (RD LD) provide?
PHILLIP A KISSACK (RD LD)'s profile centers on Registered Dietitian. Clinical services aligned with this taxonomy classification.
Which community is linked to PHILLIP A KISSACK (RD LD)?
PHILLIP A KISSACK (RD LD) shows a connection to Iowa City, Iowa in registry-derived data.
Why is information missing for PHILLIP A KISSACK (RD LD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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