MR. Kenneth Clark Komyathy, LCSW

NPI #1114911591 in Offutt a F B, Nebraska

Provider Information

NPI Number: 1114911591
Entity Type: Individual
Name: MR. Kenneth Clark Komyathy, LCSW
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Aug 31, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 55 MDOS SGO
Address 2: 2501 CAPEHART ROAD
City: Offutt a F B
State: Nebraska
ZIP Code: 68113-1712
Phone: (402) 294-7886

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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