Individual
KENNETH J KLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
65 LOS PALOMAS TRL, SEDONA, AZ 86351-7603
(928) 200-9793
Mailing address
65 LOS PALOMAS TRL, SEDONA, AZ 86351-7603
(928) 200-9793
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
005908
AZ
207Q00000X
Family Medicine Physician
Primary
34002229
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0938696
—
OH
Enumeration date
05/02/2006
Last updated
01/23/2026
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