Organization · Type 2 NPI

KL Medical Clinic, Llc.

Clinic/Center · Lawrenceville, GA

NPI number 1356692404 Active

Practice location

905 Parkside Walk Ln Ste 100A
Lawrenceville, GA 30043-7314

Fax (678) 442-9488

Mailing address

PO Box 492110
Lawrenceville, GA 30049-0036

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000X68463 (GA)

Clinic/Center: 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).

2 other providers at this address

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About NPI 1356692404

KL Medical Clinic, Llc.'s National Provider Identifier is 1356692404, issued on Sep 28, 2012. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Lawrenceville, GA. The record was last updated on Mar 24, 2026.