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Kenneth I Licker, MD
Urology Physician in Desoto, Texas
NPI 1891781316

Kenneth I Licker is a Urology Physician based in Arlington, TX. Kenneth I Licker practices in Desoto, TX and has the professional credentials of MD. The NPI Number for Kenneth I Licker is 1891781316 and holds a License No. F7819 (Texas).

The current practice location address for Kenneth I Licker is 935 York Dr, Desoto, TX and can be reached out via phone at 817-784-0818 and via fax at 972-709-5920.

Location: 935 York Dr, Desoto, TX, 76012-0549
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891781316
Provider Name
Kenneth I Licker
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
935 York Dr, Desoto, TX, 76012-0549
Phone Number
817-784-0818
Fax Number
972-709-5920
Provider Enumeration Date
09/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
114910602 05 TX
114910601 05 TX
institution
Provider Business Practice Location Address Details
Address
935 York Dr
City
Desoto
State
Texas
Zip
75115-2043
Phone Number
817-784-0818
Fax Number
972-709-5920
person
Provider Business Mailing Address Details
Address
935 York Dr
City
Desoto
State
Texas
Zip
75115-2043
Phone Number
817-784-0818
Fax Number
972-709-5920
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
F7819 (Texas)
Definition
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.
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