Kenzo Iom
Kenzo Iom is a healthcare organization registered as Electrodiagnostic Medicine Physician in Ft Worth, TX, holding Type 2 (organization) NPI 1144903774 since 2023. The authorized official on file is Gina Sullivan, Practice Administrator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1144903774 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Kenzo Iom |
| Practice address | 111 BOLAND ST STE 211, Ft Worth, TX, 76107 |
| Phone | 8175298488 |
| Enumeration date | 2023-08-10 |
| Last updated in NPPES | 2023-08-10 |
Authorized official
| Name | Gina Sullivan |
|---|---|
| Title | Practice Administrator |
| Phone | 9032590550 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 204R00000X | Electrodiagnostic Medicine Physician | Primary | — | — |
Copy-ready billing details
Provider: Kenzo Iom NPI: 1144903774 Taxonomy: 204R00000X (Electrodiagnostic Medicine Physician) Address: 111 BOLAND ST STE 211, Ft Worth, TX, 76107
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1396133328 | Synapses Iom LLC | Organization | Surgical Technologist | Ft Worth, TX |
| 1851840318 | Pb Monitoring LLC | Organization | Electrodiagnostic Medicine Physician | Ft Worth, TX |
| 1518408608 | Slr Monitoring, LLC | Organization | Electrodiagnostic Medicine Physician | Ft Worth, TX |
| 1205369600 | Frisco Iom PA | Organization | Electrodiagnostic Medicine Physician | Ft Worth, TX |
| 1184150690 | Neurohealth Monitoring LLC | Organization | Electrodiagnostic Medicine Physician | Ft Worth, TX |
| 1669900080 | Bfnm, LLC | Organization | Electrodiagnostic Medicine Physician | Ft Worth, TX |
| 1356871867 | Psb Monitoring LLC | Organization | Electrodiagnostic Medicine Physician | Ft Worth, TX |
| 1265952253 | Allen Neuro Services LLC | Organization | Electrodiagnostic Medicine Physician | Ft Worth, TX |
Verify this record
Cross-check NPI 1144903774 against the authoritative CMS record: view Kenzo Iom on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Kenzo Iom?
Who is the authorized official for Kenzo Iom?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-08-10.