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

Kendrick Widemon

Individual provider Physical Therapist · NPI 1942630116

Kendrick Widemon is a Physical Therapist in Keller, Texas. Licensed in Texas. Registered with an NPI since 2013.

Licensed in
TX
In the registry since
2013

Practice location Address checks out

5728 Moon Flower Ct
Keller, TX 76244
Phone: (817) 337-9548
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1172043 (TX)

Record details

NPI number1942630116
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 25, 2013
Last updated in NPPESNovember 25, 2013
Mailing address1125 Cottonwood Dr, Crowley, TX 76036-4308

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