KL Medical Clinic, LLC.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

68463 Issued in GA

Legal business name

KL MEDICAL CLINIC, LLC.

Practice address

905 Parkside Walk LN Ste 100a
Lawrenceville, GA 30043-7314

Phone

(678) 442-9486

Fax

(678) 442-9488

NPI assigned

Sep 28, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kenneth Ofoha, M.D.NPI 1154681567

Title

President/Owner

Phone

(678) 773-7909

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Onyekwere Ofoha, M.D.

  • Emergency Medicine Physician
  • Lawrenceville, GA
  • NPI 1154681567
  NPD Authorized official
• Laura L Ofoha, FNP-BC

  • Family Nurse Practitioner
  • Lawrenceville, GA
  • NPI 1013485812
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1356692404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 492110",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300490036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 PARKSIDE WALK LN STE 100A",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437314",
            "telephone_number": "678-442-9486",
            "fax_number": "678-442-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KL MEDICAL CLINIC, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-28",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "OFOHA",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "678-773-7909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "68463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Elizabeth Kissell
• Daria Kissina
• Nikeeta C Kitchen
• Rachel Calysta Kitchens-Cole, LCSW
• Sarah Kiwanuka, APRN
• Rebeca C Klatt, NP-C
• Laurie Lynn Klebosky, PHARMD
• Jason Klevansky, DMD
• John Randall Kludt, M.D.
• Knight Wellness

• Clinic/Center in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.