Kenneth Clark Komyathy, LCSW Valid NPI

Individual provider · Clinical Social Worker · Offutt A F B, NE

NPI

1114911591

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

1084 (NE)

Sex

Male

Sole proprietor

No

Enumerated

2005-08-31

Last updated

2007-07-08