Kenneth I. Licker, MD
Urology · Desoto, TX
UnclaimedMDNPI 1891781316
- Primary taxonomy
- 208800000X
- Enumerated
- 2005-09-20
- Practice location
- Desoto, TX
- Last NPPES update
- 2009-10-09
State licenses
- TX · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.