KENNETH I LICKER (MD) – Urology Physician, NPI 1891781316

KENNETH I LICKER (MD) is a healthcare provider. based in Desoto, Texas. specializing in Urology Physician. They hold the professional credentials MD. They hold a License No. F7819 (TX). The NPI Number for KENNETH I LICKER (MD) is 1891781316

Main info

Male
Name
KENNETH I LICKER (MD)
NPI
1891781316
Phone
(817) 784-0818
Address
935 YORK DR
Enumeration Date
20 September 2005
Last Update Date
9 October 2009
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for KENNETH I LICKER (MD)

  • 935, York Drive, DeSoto, Dallas County, Texas, 75115, United States

    DESOTO, TX 751152043

    Phone: (817) 784-0818

    Fax: (972) 709-5920

    Type: Location

  • PO BOX 120549

    ARLINGTON, TX 760120549

    Phone: (817) 303-4521

    Fax: (972) 709-5920

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75115)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for KENNETH I LICKER (MD)?
KENNETH I LICKER (MD) — NPI 1891781316 — is the standard way to identify this listing.
Is KENNETH I LICKER (MD) listed as active for patients and plans?
The listing shows KENNETH I LICKER (MD) as active in the NPI system.
What is KENNETH I LICKER (MD)'s specialty?
The listing groups KENNETH I LICKER (MD) with Urology Physician. Clinical services aligned with this taxonomy classification.
What area does KENNETH I LICKER (MD) serve?
KENNETH I LICKER (MD)'s listing highlights Desoto, Texas; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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