Provider Demographics
NPI:1013700053
Name:KISHEIB, SUAD OSMAN
Entity type:Individual
Prefix:
First Name:SUAD
Middle Name:OSMAN
Last Name:KISHEIB
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3275 HITCHCOCK ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68503-1351
Mailing Address - Country:US
Mailing Address - Phone:402-840-9338
Mailing Address - Fax:
Practice Address - Street 1:3275 HITCHCOCK ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68503-1351
Practice Address - Country:US
Practice Address - Phone:402-840-9338
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide