Kenzo Iom
NPI 1144903774 · Electrodiagnostic Medicine Physician · Ft Worth, TX
Kenzo Iom is a Electrodiagnostic Medicine Physician organization in Ft Worth, TX (NPI 1144903774).
Provider details
- NPI number
- 1144903774
- Entity type
- Organization
- Primary specialty
- Electrodiagnostic Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gina Sullivan, Practice Administrator(903) 259-0550
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-08-10
- Last updated
- 2023-08-10
- Certified
- 2023-08-10
Frequently asked questions
- What is Kenzo Iom's NPI number?
- Kenzo Iom's National Provider Identifier (NPI) is 1144903774, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kenzo Iom?
- Kenzo Iom is classified in the NPPES registry as Electrodiagnostic Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kenzo Iom located?
- Kenzo Iom's practice location on file with NPPES is 111 Boland St Ste 211, Ft Worth, TX 76107-1265.
- What is Kenzo Iom's phone number?
- The practice phone number listed in the NPPES registry for Kenzo Iom is (817) 529-8488.
- Who is the authorized official for Kenzo Iom?
- The authorized official listed on Kenzo Iom's NPPES record is Gina Sullivan, Practice Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kenzo Iom's NPI active?
- Yes — Kenzo Iom's NPI (1144903774) is active in the NPPES registry as of the last update on 2023-08-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.