Individual
JEFFREY D KLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
11100 USA PKWY STE 1100, FISHERS, IN 46037-9205
(317) 678-3850
(317) 968-1142
Mailing address
PO BOX 869, NOBLESVILLE, IN 46061-0869
(317) 770-6900
(317) 770-6911
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02004845A
IN
207Q00000X
Family Medicine Physician
11017330A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201170530
—
IN
Enumeration date
06/14/2013
Last updated
08/08/2025
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