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Kenzo Iom

Electrodiagnostic Medicine

GINA SULLIVAN
NPI: 1144903774Ft Worth, Texas, 76107(817) 529-8488

About Kenzo Iom

Kenzo Iom is a healthcare organization providing Electrodiagnostic Medicine services, registered under National Provider Identifier (NPI) number 1144903774. The authorized official for Kenzo Iom is GINA SULLIVAN.

The organization is headquartered at 111 BOLAND ST STE 211, Ft Worth, Texas 76107. The main office can be reached at (817) 529-8488. Kenzo Iom has been NPI-registered since 2023.

Locations & Contact

Primary Location

Address
111 BOLAND ST STE 211
City
Ft Worth
State
Texas
ZIP
76107-1265
Phone
(817) 529-8488
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Authorized Official

Name
GINA SULLIVAN

Mailing Address

Address
111 BOLAND ST STE 211
City
FT WORTH
State
TX
ZIP
761071265

NPI Registration

Enumeration Date
Last Updated
Certification Date

Services & Taxonomy

Specialty & Classification

Primary Specialty
Electrodiagnostic Medicine
Classification
Electrodiagnostic Medicine
Taxonomy Code
204R00000X

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Kenzo Iom's NPI number?
Kenzo Iom's National Provider Identifier (NPI) is 1144903774. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Kenzo Iom specialize in?
Kenzo Iom specializes in Electrodiagnostic Medicine.
Where is Kenzo Iom located?
Kenzo Iom practices at 111 BOLAND ST STE 211, Ft Worth, Texas 76107. You can reach them by phone at (817) 529-8488.
Does Kenzo Iom accept Medicare?
Based on available data, Kenzo Iom is not currently enrolled in the Medicare program.
Does Kenzo Iom offer telehealth or virtual visits?
Kenzo Iom does not currently offer telehealth services. In-person visits are required at their practice location.

What is a Type 2 NPI (Organization)?

A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Kenzo Iom holds NPI 1144903774, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.