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

Kenneth Willie Dickerson Sr.

Individual provider Driver · NPI 1043744790

Kenneth Willie Dickerson Sr. is a Driver in Houston, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

15530 Ella Blvd Apt 719
Houston, TX 77090
Phone: (832) 892-1079
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Driver (primary) Taxonomy 172A00000X · Licence 24512126 (TX)
Prevention Professional Taxonomy 405300000X · Licence 24512126 (TX)

Record details

NPI number1043744790
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 19, 2017
Last updated in NPPESApril 19, 2017
Mailing address15530 Ella Blvd Apt 719, Houston, TX 77090-5310

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