Organization · Type 2 NPI
Kkmmcb Medical, PLLC
Clinical Neurophysiology Physician · Sandy, UT
Practice location
9980 South 300 West Suite 200
Sandy, UT 84070
Mailing address
1338 S Foothill Dr #331
Salt Lake City, UT 84108-2321
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Electrodiagnostic Medicine Physician | 204R00000X | None listed |
| Neurology Physician | 2084N0400X | None listed |
| Clinical Neurophysiology Physician Primary | 2084N0600X | None listed |
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | None listed |
Clinical Neurophysiology Physician: Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
About NPI 1033627591
Kkmmcb Medical, PLLC's National Provider Identifier is 1033627591, issued on Jan 18, 2018. The primary taxonomy on file is Clinical Neurophysiology Physician (2084N0600X), and the practice location is in Sandy, UT. The record was last updated on Jan 18, 2018.