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

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