Individual provider · Type 1 NPI

Kenneth I. Licker, MD

Urology Physician · Desoto, TX

NPI number 1891781316 Active

Practice location

935 York Dr
Desoto, TX 75115-2043

Fax (972) 709-5920

Mailing address

PO Box 120549
Arlington, TX 76012-0549

Specialties and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000XF7819 (TX)

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

5 other providers at this address

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About NPI 1891781316

Kenneth I. Licker, MD's National Provider Identifier is 1891781316, issued on Sep 20, 2005. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Desoto, TX. The record was last updated on Oct 9, 2009.