KKMMCB MEDICAL, PLLC – NPI #1033627591
Psychiatry & Neurology

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).

KKMMCB MEDICAL, PLLC is a psychiatry & neurologist located in SANDY, UT. NPPES has assigned the NPI number 1033627591 to KKMMCB MEDICAL, PLLC on January 18, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084N0600X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Clinical Neurophysiology

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KKMMCB MEDICAL, PLLC below.

NPI Profile for
KKMMCB MEDICAL, PLLC

NPI Number
1033627591
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KKMMCB MEDICAL, PLLC
Primary location
9980 SOUTH 300 WEST SUITE 200
SANDY, UT 84070
Phone: (385) 254-0279 Fax:
Mailing address
1338 S FOOTHILL DR #331
SALT LAKE CITY, UT 84108-2321
Phone: (385) 254-0279 Fax:
Organization Subpart
No
Authorized Official
LIZETTE MORIN
MDMS NPI COMPLIANCE OFFICER
Phone: (210) 598-2800
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.