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KC MEDICAL ENTERPRISE PLLC
NPI 1396037206
Internal Medicine in Bountiful, UT

Active since May 11, 2011
415 SOUTH MEDICAL DR STE C201, BOUNTIFUL, UT 84010(801) 298-2332(801) 298-5018 Get Directions Write a Review

NPPES record last updated: December 21, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kc Medical Enterprise Pllc NPPES

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

KC MEDICAL ENTERPRISE PLLC (NPI 1396037206) is a healthcare organization registered as an internal medicine in Bountiful, Utah and active in the NPI registry since May 2011. The organization lists Cynthia Canga-siao, President, as its authorized official.

NPPES Registry Identity

NPI1396037206
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameKC MEDICAL ENTERPRISE PLLC
Location Address415 SOUTH MEDICAL DR STE C201Bountiful, UT 84010-4946
Mailing Address415 South Medical Dr Ste C201Bountiful, UT 84010-4946 · (801) 992-3130 · Fax (801) 992-3146
Phone(801) 298-2332
Fax(801) 298-5018
Organization SubpartNo
Authorized OfficialCynthia Canga-siaoPresident · (801) 992-3130
Enumeration DateMay 11, 2011
Last NPPES UpdateDecember 21, 2012
✔ NPI 1396037206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in UT · 7430003-1205
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
415 SOUTH MEDICAL DR STE C201, Bountiful, UT 84010
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Other Identifiers 3

Medicare PINU000074195UT
Medicare PINU000074194UT
Medicare UPINH30376UT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Kc Medical Enterprise PLLC's NPI number?

The NPI number for Kc Medical Enterprise PLLC is 1396037206. It was assigned to this organization in the NPPES registry on May 11, 2011.

Where is Kc Medical Enterprise PLLC located?

Kc Medical Enterprise PLLC is located at 415 South Medical Dr Ste C201, Bountiful, UT 84010. The listed phone number is (801) 298-2332.

What is Kc Medical Enterprise PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Kc Medical Enterprise PLLC was last updated on December 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.