OrganizationActive
Kl Medical Clinic, LLC.
NPI 1356692404 · Clinic/Center · Lawrenceville, GA
Provider details
- NPI number
- 1356692404
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kenneth Ofoha, President/Owner(678) 773-7909
- License
- 68463 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
905 Parkside Walk Ln Ste 100a
Lawrenceville, GA 30043-7314
Phone: (678) 442-9486
Fax: (678) 442-9488
Street-level locationGet directions
Mailing address
Po Box 492110
Lawrenceville, GA 30049-0036
Registry dates
- Enumerated
- 2012-09-28
- Last updated
- 2026-03-24
- Certified
- 2026-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.