# KENNETH J KLAK DO LLC

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

## Provider details

- **NPI number:** 1992029706
- **Authorized official:** KENNETH KLAK DO (PRESIDENT)
- **Authorized official phone:** (440) 799-4433

## Contact information

- **Practice address:** 1440 ROCKSIDE RD, 314, PARMA, OH 44134-2774
- **Practice address phone:** (440) 799-4433
- **Practice address fax:** (440) 799-4437
- **Mailing address:** 1440 ROCKSIDE RD, 314, PARMA, OH 44134-2774
- **Mailing address phone:** (440) 799-4433
- **Mailing address fax:** (440) 799-4437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 34002229 | OH | Yes |

## Other

- **Enumeration date:** 03/23/2010
- **Last updated:** 07/19/2010