| Kenneth J Klak Do Llc | |
|
1440 Rockside Rd 314 Parma OH 44134-2774 | |
| (440) 799-4433 | |
| (440) 799-4437 |
| Full Name | Kenneth J Klak Do Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1440 Rockside Rd, Parma, Ohio |
| Authorized Official Name and Position | Kenneth Klak (PRESIDENT) |
| Authorized Official Contact | 4407994433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth J Klak Do Llc 1440 Rockside Rd 314 Parma OH 44134-2774 Ph: (440) 799-4433 | Kenneth J Klak Do Llc 1440 Rockside Rd 314 Parma OH 44134-2774 Ph: (440) 799-4433 |
| NPI Number | 1992029706 |
|---|---|
| Provider Enumeration Date | 03/23/2010 |
| Last Update Date | 07/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992029706 | NPI | - | NPPES |
| 3034326 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34002229 (Ohio) | Primary |
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