IndividualActive
Kenneth Licker, MD
NPI 1891781316 · Urology Physician · Desoto, TX
Kenneth Licker, MD is a Urology Physician provider in Desoto, TX (NPI 1891781316).
Provider details
- NPI number
- 1891781316
- Entity type
- Individual
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- F7819 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
935 York Dr
Desoto, TX 75115-2043
Phone: (817) 784-0818
Fax: (972) 709-5920
Street-level locationGet directions
Mailing address
Po Box 120549
Arlington, TX 76012-0549
Registry dates
- Enumerated
- 2005-09-20
- Last updated
- 2009-10-09
Frequently asked questions
- What is Kenneth Licker's NPI number?
- Kenneth Licker's National Provider Identifier (NPI) is 1891781316, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Licker's specialty?
- Kenneth Licker is listed in the NPPES registry with a primary specialty of Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Kenneth Licker located?
- Kenneth Licker's practice location on file with NPPES is 935 York Dr, Desoto, TX 75115-2043.
- What is Kenneth Licker's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Licker is (817) 784-0818.
- Is Kenneth Licker's NPI active?
- Yes — Kenneth Licker's NPI (1891781316) is active in the NPPES registry as of the last update on 2009-10-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.