Organization
KENNETH J KLAK DO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH KLAK DO (PRESIDENT)
(440) 799-4433
Entity
Organization
Contact information
Practice address
1440 ROCKSIDE RD, 314, PARMA, OH 44134-2774
(440) 799-4433
(440) 799-4437
Mailing address
1440 ROCKSIDE RD, 314, PARMA, OH 44134-2774
(440) 799-4433
(440) 799-4437
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34002229
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3034326
—
OH
Enumeration date
03/23/2010
Last updated
07/19/2010
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