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KKMMCB MEDICAL, PLLC
NPI 1033627591
Psychiatry & Neurology - Clinical Neurophysiology in Sandy, UT

Active since January 18, 2018
9980 SOUTH 300 WEST SUITE 200, SANDY, UT 84070(385) 254-0279 Get Directions Write a Review

NPPES record last updated: January 18, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kkmmcb Medical, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KKMMCB MEDICAL, PLLC (NPI 1033627591) is a healthcare organization registered as a clinical neurophysiology in Sandy, Utah and active in the NPI registry since January 2018. The organization lists Lizette Morin, Mdms Npi Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1033627591
Entity TypeOrganization
Primary Taxonomy2084N0600X
Legal Business NameKKMMCB MEDICAL, PLLC
Location Address9980 SOUTH 300 WEST SUITE 200Sandy, UT 84070
Mailing Address1338 S Foothill Dr #331Salt Lake City, UT 84108-2321 · (385) 254-0279
Phone(385) 254-0279
Organization SubpartNo
Authorized OfficialLizette MorinMdms Npi Compliance Officer · (210) 598-2800
Enumeration DateJanuary 18, 2018
✔ NPI 1033627591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychiatry & Neurology · Clinical NeurophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0600X
Definition
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
Also ListedElectrodiagnostic MedicineTaxonomy 204R00000X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedSpecialist/Technologist, Other · ElectroneurodiagnosticTaxonomy 246ZE0600X
9980 SOUTH 300 WEST SUITE 200, Sandy, UT 84070
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kkmmcb Medical, PLLC's NPI number?

The NPI number for Kkmmcb Medical, PLLC is 1033627591. It was assigned to this organization in the NPPES registry on January 18, 2018.

Where is Kkmmcb Medical, PLLC located?

Kkmmcb Medical, PLLC is located at 9980 South 300 West Suite 200, Sandy, UT 84070. The listed phone number is (385) 254-0279.

What is Kkmmcb Medical, PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Clinical Neurophysiology, with taxonomy code 2084N0600X.

When was this NPI record last updated?

The NPPES record for Kkmmcb Medical, PLLC was last updated on January 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.