Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kl Medical Clinic, LLC

Organization Clinic/Center · NPI 1356692404

Kl Medical Clinic, LLC is a Clinic/Center in Lawrenceville, Georgia. Licensed in Georgia. Registered with an NPI since 2012.

Licensed in
GA
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

905 Parkside Walk Ln Ste 100A
Lawrenceville, GA 30043-7314
Phone: (678) 442-9486
Fax: (678) 442-9488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 68463 (GA)

Record details

NPI number1356692404
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Ofoha — President/Owner · (678) 773-7909
NPI enumeratedSeptember 28, 2012
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026
Mailing addressPo Box 492110, Lawrenceville, GA 30049-0036

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