Kendrick Widemon

Physical Therapist · Keller, TX

Individual Active NPI

NPI number 1942630116

Practice location

5728 Moon Flower Ct
Keller, TX 76244
Phone
(817) 337-9548

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NPI record

NPI
1942630116
Entity type
Individual (Type 1)
Enumeration date
November 25, 2013
Last updated
November 25, 2013
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X 1172043 TX

Mailing address

1125 Cottonwood Dr
Crowley, TX 76036-4308
Phone
(903) 830-7993

About Kendrick Widemon

Kendrick Widemon is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 5728 Moon Flower Ct, Keller, TX 76244. The NPI number 1942630116 was assigned on November 25, 2013 and the record was last updated on November 25, 2013.

Kendrick Widemon lists a license in the registry: #1172043 (TX) for Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kendrick Widemon?

The NPI number is 1942630116.

What is the phone number of Kendrick Widemon?

The phone number listed for the practice location is (817) 337-9548.

Where is Kendrick Widemon located?

5728 Moon Flower Ct, Keller, TX 76244.

What is the taxonomy code for Kendrick Widemon?

The primary taxonomy code is 225100000X – Physical Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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