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

Kenneth I Licker, MD

Individual provider Urology Physician · NPI 1891781316

Kenneth I Licker, MD is an Urology Physician in Desoto, Texas. Licensed in Texas. Registered with an NPI since 2005.

Licensed in
TX
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

935 York Dr
Desoto, TX 75115-2043
Phone: (817) 784-0818
Fax: (972) 709-5920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence F7819 (TX)

Record details

NPI number1891781316
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 20, 2005
Last updated in NPPESOctober 9, 2009
Mailing addressPo Box 120549, Arlington, TX 76012-0549

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