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Kkmmcb Medical, Pllc

Clinical Neurophysiology Physician in Sandy, UT · enumerated 2018 · authorized official Lizette Morin, Mdms Npi Compliance Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1033627591

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Registry record

Entity type Organization (Type 2)
Legal business name Kkmmcb Medical, Pllc
Practice address 9980 South 300 West Suite 200, Sandy, UT, 84070
Enumeration date Jan 18, 2018
Last updated in NPPES Jan 18, 2018

Taxonomy & classification

204R00000X Electrodiagnostic Medicine Physician Allopathic & Osteopathic Physicians Secondary
2084N0400X Neurology Physician Allopathic & Osteopathic Physicians Secondary
2084N0600X Clinical Neurophysiology Physician Allopathic & Osteopathic Physicians Primary
246ZE0600X Electroneurodiagnostic Specialist/Technologist Technologists, Technicians & Other Technical Service Providers Secondary

Authorized official

Name Lizette Morin
Title Mdms Npi Compliance Officer

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Kkmmcb Medical, Pllc?
NPPES lists Lizette Morin (Mdms Npi Compliance Officer) as the authorized official for this organization.
What is the NPI number for Kkmmcb Medical, Pllc?
The NPI for Kkmmcb Medical, Pllc is 1033627591, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-01-18.