Individual
DR. KEVIN RAY PISKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
805 NEW HAMPSHIRE ST STE C, LAWRENCE, KS 66044-2774
(785) 214-4012
(785) 212-4015
Mailing address
12035 Q ST, OMAHA, NE 68137-3542
(402) 991-0611
(402) 991-6228
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2587
KS
103TC0700X
Clinical Psychologist
306
NE
Other
Enumeration date
08/11/2006
Last updated
04/16/2024
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