Individual provider · Type 1 NPI

Matthew Kisicki

Home Health Registered Nurse · Omaha, NE

NPI number 1912895079 Active

Practice location

3000 S 84th St
Omaha, NE 68124-3215

Mailing address

2707 N 207th St
Elkhorn, NE 68022-1287

Specialties and licenses

TaxonomyCodeLicense
Home Health Registered Nurse Primary 163WH0200X85950 (NE)

Home Health Registered Nurse: Definition to come...

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About NPI 1912895079

Matthew Kisicki's National Provider Identifier is 1912895079, issued on Jun 26, 2025. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Omaha, NE. The record was last updated on Jun 26, 2025.