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

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