Klak, Kenneth J
Klak, Kenneth J is an sole proprietor health care provider with primary practice located at 1440 Rockside Rd 314, Parma OH 44134-2774. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Klak, Kenneth J can be contacted via phone (440) 799-4433.Contact Information
Primary practice address
1440 Rockside Rd 314
Parma OH 44134-2774
Phone: (440) 799-4433
Fax: (440) 799-4437
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34002229 | Ohio |
Profile Details
| NPI number | 1417915240 |
|---|---|
| LBN Legal business name | Klak, Kenneth J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 2nd, 2006 |
| Last updated | Jul 19th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417915240 | NPPES |
| Ohio | MEDICAID | 0938696 |
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