Search › Texas › 208800000X
Kenneth Licker, MD
NPI 1891781316 · on the registry since 2005
Practice
- Address
- 935 York Dr
Desoto, TX 75115 - Phone
- (817) 784-0818
- Fax
- (972) 709-5920
- Organisation at this address
- Elite Women'S Wellness Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 208800000X
208800000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-10-09
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