Kenneth Wayne Morris

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

KENNETH WAYNE MORRIS

Doing business as

Physiologics

Practice address

4707 Alwood CT
Fort Worth, TX 76135-1901

Phone

(817) 237-8429

Fax

(817) 237-8583

NPI assigned

Dec 28, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kenneth Wayne Morris

Title

Owner

Phone

(817) 237-8429

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Physiologics Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518023274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 136372",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761360372",
            "telephone_number": "817-237-8429",
            "fax_number": "817-237-8583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 ALWOOD CT",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761351901",
            "telephone_number": "817-237-8429",
            "fax_number": "817-237-8583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH WAYNE MORRIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-237-8429",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z0PL03320",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physiologics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shane W Kennedy, MD
• Siobhan Kennedy
• Kirsten Renee Kennemer, AU.D.
• Kenneth James Buley MD
• Kenneth Ray Ruelas Jr (Anchor Pediatric Therapy LLC)
• Ashley Kenney
• Kylie Kennington
• Kimberly Isabella Kennon, OTD, OTR/L
• Mary Jane Kennon, RPH
• Lauren Ann Kenny, CPNP-PC

• Physiological Laboratory in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physiological Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.