Provider Demographics
NPI:1619400686
Name:DR. KCOMT CENTER FOR WELLBEING PC
Entity Type:Organization
Organization Name:DR. KCOMT CENTER FOR WELLBEING PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KCOMT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-603-3700
Mailing Address - Street 1:3461 MARKET ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-4412
Mailing Address - Country:US
Mailing Address - Phone:717-603-3700
Mailing Address - Fax:717-603-3701
Practice Address - Street 1:3461 MARKET ST
Practice Address - Street 2:SUITE 105
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-4412
Practice Address - Country:US
Practice Address - Phone:717-603-3700
Practice Address - Fax:717-603-3701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-06
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4284292084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty