KL MEDICAL CLINIC, LLC. is a clinic center in Lawrenceville, GA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). KL MEDICAL CLINIC, LLC. NPI is 1356692404. The provider is registered as an organization entity type.
The provider's business location address is:
905 PARKSIDE WALK LN STE 100A
LAWRENCEVILLE, GA
ZIP 30043-314
Phone: (678) 442-9486
Fax: (678) 442-9488
The provider's authorized official is Kenneth Ofoha .
The authorized official title is President/owner and has the following contact phone number (678) 773-7909.
The CLIA number assigned to this NPI record is 11D2050219 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/28/2012 and was last updated on 7/19/2023.