Organization
KC MEDICAL ENTERPRISE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYNTHIA CANGA-SIAO MD (PRESIDENT)
(801) 992-3130
Entity
Organization
Contact information
Practice address
415 SOUTH MEDICAL DR STE C201, BOUNTIFUL, UT 84010-4946
(801) 298-2332
(801) 298-5018
Mailing address
415 SOUTH MEDICAL DR STE C201, BOUNTIFUL, UT 84010-4946
(801) 992-3130
(801) 992-3146
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7430003-1205
UT
Other
Enumeration date
05/11/2011
Last updated
12/21/2012
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