KL MEDICAL CLINIC, LLC.
NPI 1356692404
Clinic/Center in Lawrenceville, GA

NPI Status: Active since September 28, 2012

Contact Information

905 PARKSIDE WALK LN STE 100A
LAWRENCEVILLE, GA
ZIP 30043
Phone: (678) 442-9486
Fax: (678) 442-9488

Get Directions Reviews

  • Organization
  • Clinic/Center

About KL MEDICAL CLINIC, LLC.

This page provides the complete NPI Profile along with additional information for Kl Medical Clinic, Llc., a provider established in Lawrenceville, Georgia operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1356692404 assigned on September 2012. The practitioner's primary taxonomy code is 261Q00000X with license number 68463 (GA). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Dr. Kenneth Ofoha M.d. (President/owner)

NPI
1356692404
Provider Name
KL MEDICAL CLINIC, LLC.
Entity Type
Organization
Location Address
905 PARKSIDE WALK LN STE 100A LAWRENCEVILLE, GA 30043
Location Phone
(678) 442-9486
Location Fax
(678) 442-9488
Mailing Address
PO BOX 492110 LAWRENCEVILLE, GA 30049
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-28-2012
Last Update Date
07-19-2023
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
68463
License State
GA
Taxonomy Description
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).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KENNETH OFOHA M.D.

Authorized Official Title
PRESIDENT/OWNER
Authorized Official Phone
(678) 773-7909

Reviews for KL MEDICAL CLINIC, LLC.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1356692404
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23106129440
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 0 + 6 + 1 + 2 + 9 + 4 + 4 + 0 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1356692404 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013485812 LAURA L OFOHA FNP-BC
Individual
Nurse Practitioner (Family)905 PARKSIDE WALK LN STE 100A
LAWRENCEVILLE, GA 30043
(678) 442-9486

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356692404, enumerated in the NPI registry as an "organization" on September 28, 2012

The provider is located at 905 Parkside Walk Ln Ste 100a Lawrenceville, Ga 30043 and the phone number is (678) 442-9486

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

This NPI record was last updated on September 28, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.