KKMMCB MEDICAL, PLLC – Clinical Neurophysiology Physician, NPI 1033627591

KKMMCB MEDICAL, PLLC is a healthcare provider. based in Salt lake city, Utah. specializing in Clinical Neurophysiology Physician. The NPI Number for KKMMCB MEDICAL, PLLC is 1033627591

Main info

Organization
Name
KKMMCB MEDICAL, PLLC
NPI
1033627591
Phone
(385) 254-0279
Address
1338 S FOOTHILL DR #331
Authorized Official
LIZETTE MORIN MDMS NPI COMPLIANCE OFFICER
Enumeration Date
18 January 2018
Last Update Date
18 January 2018
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness75
Years active:8State licenses:0Digital endpointsOther names

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Provider Addresses for KKMMCB MEDICAL, PLLC

  • Foothill Drive, Salt Lake City, Salt Lake County, Utah, 84109, United States

    SALT LAKE CITY, UT 841082321

    Phone: (385) 254-0279

    Type: Mailing

  • 300 West, Wallace Heights, Sandy, Salt Lake County, Utah, 84070, United States

    SANDY, UT 84070

    Phone: (385) 254-0279

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84108)

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Frequently asked questions

What is the registry number for KKMMCB MEDICAL, PLLC?
The registry entry for KKMMCB MEDICAL, PLLC shows NPI 1033627591.
Does the public listing show KKMMCB MEDICAL, PLLC as active?
KKMMCB MEDICAL, PLLC's NPI record reflects an active status in NPPES.
What type of care does KKMMCB MEDICAL, PLLC provide?
KKMMCB MEDICAL, PLLC's profile centers on Clinical Neurophysiology Physician. Clinical services aligned with this taxonomy classification.
Is KKMMCB MEDICAL, PLLC tied to Salt Lake City, Utah?
If you are local to Salt Lake City, Utah, KKMMCB MEDICAL, PLLC may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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