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Kenzo Iom

Electrodiagnostic Medicine Physician in Ft Worth, TX · enumerated 2023 · authorized official Gina Sullivan, Practice Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1144903774

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Registry record

Entity type Organization (Type 2)
Legal business name Kenzo Iom
Practice address 111 Boland St Ste 211, Ft Worth, TX, 76107
Phone (817) 529-8488
Enumeration date Aug 10, 2023
Last updated in NPPES Aug 10, 2023

Taxonomy & classification

204R00000X Electrodiagnostic Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Gina Sullivan
Title Practice Administrator
Phone (903) 259-0550

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.

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Frequently asked questions

What is the NPI number for Kenzo Iom?
The NPI for Kenzo Iom is 1144903774, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Kenzo Iom?
NPPES lists Gina Sullivan (Practice Administrator) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-08-10.