Healthcare Provider Details

I. General information

NPI: 1780687079
Provider Name (Legal Business Name): SUSAN KATHRYN COMTE CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2005
Last Update Date: 12/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 GOODMAN ST
CINCINNATI OH
45219-2364
US

IV. Provider business mailing address

2830 VICTORY PKWY
CINCINNATI OH
45206-1785
US

V. Phone/Fax

Practice location:
  • Phone: 513-584-4081
  • Fax: 513-584-2579
Mailing address:
  • Phone: 513-245-3664
  • Fax: 513-475-7259

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberNM4908
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: