Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kc Medical Concept, LLC

Organization Clinic/Center · NPI 1407127525

Kc Medical Concept, LLC is a Clinic/Center in Port Jefferson Station, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

102B Route 112
Port Jefferson Station, NY 11776-1018
Phone: (631) 509-4774
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X (NY)

Record details

NPI number1407127525
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karen Mourtzikos — Director · (631) 509-4774
NPI enumeratedJanuary 20, 2012
Last updated in NPPESApril 23, 2013
Mailing address102b Route 112, Port Jefferson Station, NY 11776-1018

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