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

Kkmmcb Medical, PLLC

Organization Electrodiagnostic Medicine Physician · NPI 1033627591

Kkmmcb Medical, PLLC is an Electrodiagnostic Medicine Physician in Sandy, Utah. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
4
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

9980 S 300 W Ste 200
Sandy, UT 84070
Phone: (385) 254-0279
Show map & directions

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

Specialties & licences

Clinical Neurophysiology Physician (primary) Taxonomy 2084N0600X
Electrodiagnostic Medicine Physician Taxonomy 204R00000X
Neurology Physician Taxonomy 2084N0400X
Electroneurodiagnostic Specialist/Technologist Taxonomy 246ZE0600X

Record details

NPI number1033627591
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lizette Morin — Mdms Npi Compliance Officer · (210) 598-2800
NPI enumeratedJanuary 18, 2018
Last updated in NPPESJanuary 18, 2018
Mailing address1338 S Foothill Dr #331, Salt Lake City, UT 84108-2321