Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNETH CLARK KOMYATHY, LCSW
ActiveMR. KENNETH CLARK KOMYATHY, LCSW is a Clinical Social Worker healthcare provider located in OFFUTT A F B, Nebraska. NPI 1114911591 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · OFFUTT A F B, NE
Registration Details
- NPI Number
- 1114911591
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2005 (20.913011817097 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1084 (NE)
Practice Information
- Address
-
55 MDOS SGO2501 CAPEHART ROADOFFUTT A F B, NE, 681131712Browse NE providers · Browse ZIP 68113
- Phone
- 4022947886
- Fax
- 4022327291
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in OFFUTT A F B, NE
| Name | Credential | NPI |
|---|---|---|
| MR. DALE RICHARD LUSH | LCSW | 1205820735 |
| MR. ELWOOD WILBUR KLINE | MSW | 1881689230 |
| DR. SHARON J. GOBER | PHD | 1457347742 |
| MS. JAN B REYNOLDS | LCSW | 1174519318 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.