KKMMCB MEDICAL, PLLC
KKMMCB MEDICAL, PLLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1033627591, based in Sandy, UT. The organization lists 4 taxonomy classifications, with Clinical Neurophysiology Physician recorded as primary.
Getting there
The practice address on file is 9980 SOUTH 300 WEST SUITE 200, Sandy, UT 84070. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Clinical Neurophysiology covers
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). NUCC Health Care Provider Taxonomy, code 2084N0600X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2084N0600X | Clinical Neurophysiology Physician Clinical Neurophysiology | — | — | primary |
| 204R00000X | Electrodiagnostic Medicine Physician | — | — | |
| 2084N0400X | Neurology Physician Neurology | — | — | |
| 246ZE0600X | Electroneurodiagnostic Specialist/Technologist Electroneurodiagnostic | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1033627591 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jan 18, 2018 |
| Last updated | Jan 18, 2018 |
| Status | Active |
| Practice address |
9980 SOUTH 300 WEST SUITE 200 Sandy, UT 84070 (385) 254-0279 |
| Mailing address |
1338 S FOOTHILL DR #331 Salt Lake City, UT 84108 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 3 | 3 | 6 | 2 | 7 | 5 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 6 | 3 | 3 | 2 | 5 | 5 | 9 |
Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.