Kkmmcb Medical, PLLC
NPI 1033627591 · Clinical Neurophysiology Physician · Sandy, UT
Kkmmcb Medical, PLLC is a Clinical Neurophysiology Physician organization in Sandy, UT (NPI 1033627591).
Provider details
- NPI number
- 1033627591
- Entity type
- Organization
- Primary specialty
- Clinical Neurophysiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lizette Morin, Mdms Npi Compliance Officer(210) 598-2800
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Electrodiagnostic Medicine Physician204R00000X
Allopathic & Osteopathic Physicians
- Neurology Physician2084N0400X
Allopathic & Osteopathic Physicians
Technologists, Technicians & Other Technical Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-01-18
- Last updated
- 2018-01-18
Frequently asked questions
- What is Kkmmcb Medical, PLLC's NPI number?
- Kkmmcb Medical, PLLC's National Provider Identifier (NPI) is 1033627591, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kkmmcb Medical, PLLC?
- Kkmmcb Medical, PLLC is classified in the NPPES registry as Clinical Neurophysiology Physician (Allopathic & Osteopathic Physicians).
- Where is Kkmmcb Medical, PLLC located?
- Kkmmcb Medical, PLLC's practice location on file with NPPES is 9980 South 300 West Suite 200, Sandy, UT 84070.
- What is Kkmmcb Medical, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Kkmmcb Medical, PLLC is (385) 254-0279.
- Who is the authorized official for Kkmmcb Medical, PLLC?
- The authorized official listed on Kkmmcb Medical, PLLC's NPPES record is Lizette Morin, Mdms Npi Compliance Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kkmmcb Medical, PLLC's NPI active?
- Yes — Kkmmcb Medical, PLLC's NPI (1033627591) is active in the NPPES registry as of the last update on 2018-01-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.