OrganizationActive
Kc Medical Enterprise PLLC
NPI 1396037206 · Internal Medicine Physician · Bountiful, UT
Provider details
- NPI number
- 1396037206
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Cynthia Canga-Siao, President(801) 992-3130
- License
- 7430003-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
415 South Medical Dr Ste C201
Bountiful, UT 84010-4946
Phone: (801) 298-2332
Fax: (801) 298-5018
Street-level locationGet directions
Mailing address
415 South Medical Dr Ste C201
Bountiful, UT 84010-4946
Registry dates
- Enumerated
- 2011-05-11
- Last updated
- 2012-12-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.