Kenneth J Klak, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

005908 Issued in AZ

Practice address

65 Los Palomas TRL
Sedona, AZ 86351-7603

Phone

(928) 200-9793

NPI assigned

May 2, 2006

Last updated

Jan 23, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clinic Physician Services Co. LLC

  • Anesthesiology Physician
  • Mayfield HTS, OH
  • NPI 1235127408
  NPD (past)
• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  NPD (past)

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1417915240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 LOS PALOMAS TRL",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863517603",
            "telephone_number": "928-200-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 LOS PALOMAS TRL",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863517603",
            "telephone_number": "928-200-9793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAK",
        "first_name": "KENNETH",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "005908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keynote Massage LLC
• Greg Kiper, MA, LMHCA, CDP
• Kirk Westervelt DMD,PC
• Alexandria Lois Kirkpatrick, A-GNP-C
• Allison M Kirshner, NP
• Thomas Peyton Kline, LPC
• Catherine M Knox
• Kelly Krietsch, PH.D.
• Kristy Kazian, SLP
• KRTL Medhealth Corp

• Family Medicine Physician in Sedona, AZ
• Providers in Sedona, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.