Individual
DR. KENT JOSEPH NISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 I ST, PAWNEE CITY, NE 68420-3001
(402) 852-2231
Mailing address
600 I ST, PAWNEE CITY, NE 68420-3001
(402) 852-2231
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
04-41360
KS
207Q00000X
Family Medicine Physician
Primary
31410
NE
390200000X
Student in an Organized Health Care Education/Training Program
15-
KS
Other
Enumeration date
04/13/2017
Last updated
12/07/2020
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