Kenneth Dickerson
NPI 1043744790 · on the registry since 2017 · sole proprietor
Practice
- Address
- 15530 Ella Blvd Apt 719
Houston, TX 77090 - Phone
- (832) 892-1079
- Organisation at this address
- Alluring Angels Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Driver
172A00000X
- Also registered as
- Prevention Professional
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-04-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas