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Kenneth I Licker, MD

Urology Physician in Desoto, TX · enumerated 2005 · practices at Elite Women'S Wellness LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1891781316

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Registry record

Entity type Individual (Type 1)
Name Kenneth I Licker
Credential MD
Sex Male
Practice address 935 York Dr, Desoto, TX, 75115
Phone (817) 784-0818
Fax (972) 709-5920
Enumeration date Sep 20, 2005
Last updated in NPPES Oct 9, 2009

Taxonomy & licenses

208800000X Urology Physician Allopathic & Osteopathic Physicians · License F7819 (TX) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
114910602 Medicaid TX -
114910601 Medicaid TX -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Kenneth Licker's NPI record?
Cross-check NPI 1891781316 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1891781316 active?
Yes, as of the latest NPPES snapshot, NPI 1891781316 is active (record last updated 2009-10-09).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-10-09.