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

Kc Medical Enterprise PLLC

Organization Internal Medicine Physician · NPI 1396037206

Kc Medical Enterprise PLLC is an Internal Medicine Physician in Bountiful, Utah. Licensed in Utah. Registered with an NPI since 2011.

Licensed in
UT
In the registry since
2011
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

415 S Medical Dr Ste C201
Bountiful, UT 84010-4946
Phone: (801) 298-2332
Fax: (801) 298-5018
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 7430003-1205 (UT)

Record details

NPI number1396037206
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cynthia Canga-Siao — President · (801) 992-3130
NPI enumeratedMay 11, 2011
Last updated in NPPESDecember 21, 2012
Mailing address415 South Medical Dr Ste C201, Bountiful, UT 84010-4946

Other providers in Bountiful