Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenzo Iom

Organization Electrodiagnostic Medicine Physician · NPI 1144903774

Kenzo Iom is an Electrodiagnostic Medicine Physician in Ft Worth, Texas. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

111 Boland St Ste 211
Ft Worth, TX 76107-1265
Phone: (817) 529-8488
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Electrodiagnostic Medicine Physician (primary) Taxonomy 204R00000X

Record details

NPI number1144903774
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gina Sullivan — Practice Administrator · (903) 259-0550
NPI enumeratedAugust 10, 2023
Last updated in NPPESAugust 10, 2023
Certification dateAugust 10, 2023
Mailing address111 Boland St Ste 211, Ft Worth, TX 76107-1265

Other providers in Ft Worth