What is Kenneth Klak's NPI number?

Kenneth Klak's National Provider Identifier (NPI) is 1417915240, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kenneth Klak's specialty?

Kenneth Klak is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).

Where is Kenneth Klak located?

Kenneth Klak's practice location on file with NPPES is 65 Los Palomas Trl, Sedona, AZ 86351-7603.

What is Kenneth Klak's phone number?

The practice phone number listed in the NPPES registry for Kenneth Klak is (928) 200-9793.

Is Kenneth Klak's NPI active?

Yes — Kenneth Klak's NPI (1417915240) is active in the NPPES registry as of the last update on 2026-01-23.

IndividualActive

Kenneth Klak, DO

NPI 1417915240 · Family Medicine Physician · Sedona, AZ

Kenneth Klak, DO is a Family Medicine Physician provider in Sedona, AZ (NPI 1417915240).

Provider details

NPI number: 1417915240
Entity type: Individual
Primary specialty: Family Medicine PhysicianAllopathic & Osteopathic Physicians
Credential: DO
Sex: Male
Sole proprietor: Yes
License: 005908 (AZ)

Specialties & taxonomies

Family Medicine PhysicianPrimary207Q00000XLicense 005908 (AZ)
Allopathic & Osteopathic Physicians

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
20 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

65 Los Palomas Trl

Sedona, AZ 86351-7603

Phone: (928) 200-9793

Street-level locationGet directions

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Mailing address