# KLALLANDO PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942839980
- **Authorized official:** DR. KYLE LAMONT ALLAN DO (FOUNDER/CEO)
- **Authorized official phone:** (858) 472-4052

## Contact information

- **Practice address:** 4830 CENTRAL PARK DR, OKEMOS, MI 48864-2089
- **Practice address phone:** (517) 721-7639
- **Mailing address:** 5174 ROYCE RD, WEBBERVILLE, MI 48892-9760
- **Mailing address phone:** (858) 472-4052

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/02/2020
- **Last updated:** 04/02/2020