Search › Nebraska › 363A00000X
Larry Kisby, PA-C
NPI 1639127517 · on the registry since 2006
Practice
- Address
- 710 Reynolds Road
Fremont, NE 68025 - Phone
- (402) 727-1091
- Fax
- (402) 727-7628
- Organisation at this address
- Fremont Psychiatric Services
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- NE
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska