Diandra Brigette Kissack, is a
Student In An Organized Health Care Education/training Program based in Spokane Valley, Washington. Diandra Brigette Kissack is licensed to practice in * (Not Available) (license number ) and her current practice location is
721 N Pines Rd, Spokane Valley, Washington. She can be reached at her office (for appointments etc.) via phone at
(509) 892-1100.
NPI number for Diandra Brigette Kissack is 1205395688 and her current mailing address is 721 S Henry Rd, Greenacres, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205395688.
Healthcare Provider's Profile
Full Name | Diandra Brigette Kissack |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 721 N Pines Rd, Spokane Valley, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1205395688
- Provider Enumeration Date: 03/15/2019
- Last Update Date: 02/01/2024
Medical Identifiers
Medical identifiers for Diandra Brigette Kissack such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205395688 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Diandra Brigette Kissack is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Diandra Brigette Kissack, 721 S Henry Rd, Greenacres, WA 99016-9617 Ph: (509) 953-2928 | Diandra Brigette Kissack, 721 N Pines Rd, Spokane Valley, WA 99206-5225 Ph: (509) 892-1100 |
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