Individual provider · Type 1 NPI

Phillip A. Kissack, RD LD

Registered Dietitian · Iowa City, IA

NPI number 1376530030 Active

Practice location

200 Hawkins Dr
Iowa City, IA 52242-1009

Call (319) 384-6204 Map

Fax (319) 356-8674

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X01464 (IA)

Registered Dietitian: 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 the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1376530030

Phillip A. Kissack, RD LD's National Provider Identifier is 1376530030, issued on Sep 28, 2005. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Iowa City, IA. The record was last updated on Jul 13, 2026.