| Klallando Pc | |
|
4830 Central Park Dr Okemos MI 48864-2089 | |
| (517) 721-7639 | |
| Not Available |
| Full Name | Klallando Pc |
|---|---|
| Speciality | General Practice |
| Location | 4830 Central Park Dr, Okemos, Michigan |
| Authorized Official Name and Position | Kyle Lamont Allan (FOUNDER/CEO) |
| Authorized Official Contact | 8584724052 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Klallando Pc 5174 Royce Rd Webberville MI 48892-9760 Ph: (858) 472-4052 | Klallando Pc 4830 Central Park Dr Okemos MI 48864-2089 Ph: (517) 721-7639 |
| NPI Number | 1942839980 |
|---|---|
| Provider Enumeration Date | 04/02/2020 |
| Last Update Date | 04/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942839980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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