KENNETH WILLIE DICKERSON SR.


Address: 15530 Ella Blvd Apt 719, Houston, TX 77090
Phone: 8328921079

KENNETH WILLIE DICKERSON SR. (NPI# 1043744790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043744790
Entity Type Individual
Full Name KENNETH WILLIE DICKERSON SR.
Practice Address 15530 Ella Blvd Apt 719
Houston
TX 77090
Mailing Address 15530 Ella Blvd Apt 719
Houston
TX 77090-5310
Practice Telephone 8328921079
Mailing Telephone 8328921079
Enumeration Date 2017-04-19
Last Update Date 2017-04-19
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 172A00000X Driver 24512126 TX Other Service Providers
N 405300000X Prevention Professional 24512126 TX Other Service Providers

Other Providers KENNETH DICKERSON

NPI Name Taxonomy Address Enumeration
1588778393 Kenneth Robert Dickerson Optometrist 601 Elmwood Ave, Rochester, NY 14642-0001 2006-08-18

Office Location

Street Address 15530 ELLA BLVD APT 719
City HOUSTON
State TX
Zip Code 77090

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093327579 Chau Nguyen Pharmacist 1403 Cypress Creek Pkwy, Houston, TX 77090 2020-08-17
1609435502 Cordelia Ogechi Egwim Nurse Practitioner 110 Cypress Station Drive #270, Houston, TX 77090 2019-06-13
1710496229 Shamekkia Lashawn Basey Nurse Practitioner 1125 Cypress Station Dr Ste B-4, Houston, TX 77090 2017-09-27
1861914780 Troya Vaniver Rodgers Clinic/Center 200 Dominion Park Drive, 1127, Houston, TX 77090 2017-07-12
1760911333 Diabetes Relief Houston The Woodlands LLC Clinic/Center 17434 Red Oak, Suite D, Houston, TX 77090 2017-06-07
1740728005 Meisha Lorraine Smith Nurse Practitioner 920 Medical Plaza Blvd, 450, Houston, TX 77090 2017-02-07
1336503648 Guided Insight Behavioral Health Pllc Case Management 11757 Katy Freeway, Suite 1300, Katy, TX 77090 2016-04-12
1134508302 Compassionate Health Care Home Health 601 Cypress Station #408, Houston, TX 77090 2015-05-21
1811386360 Minal Akshay Patel Chiropractor 14755 N. Freeway, Suite 400, Houston, TX 77090 2015-01-21
1639573322 Peguy Luma Specialist/Technologist, Other 1206 Newsome Glenn Dr, Houston, TX 77090 2014-10-09
Find all providers in zip 77090

Taxonomy Information

Taxonomy Code 172A00000X
Grouping Other Service Providers
Classification Driver

Taxonomy Definition

A person employed to operate a motor vehicle as a carrier of persons or property.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942801998 Sharonfa Lee Hardy Driver 7706 Darnay Dr, Houston, TX 77033-3534 2020-11-05
1962013755 Carrie A Mitchell Driver 12515 Ashford Riv, Houston, TX 77072-5662 2020-08-13
1740891944 Nader Nuru Driver 8300 El Mundo St Apt 240, Houston, TX 77054-4631 2020-08-11
1447869995 Latonya M Lambert Driver 711 Fm 1959 Rd Apt 804, Houston, TX 77034-5472 2020-07-29
1245854090 Nateese Lanon Jones Driver 324 Fm 1960 Rd Ste 101, Houston, TX 77073-1887 2020-06-07
1659994747 Marland Lowe Driver 6711 Stella Link Rd # 164, Houston, TX 77005-4342 2020-05-22
1306478136 Barbara L Auguste Driver 13500 Segrest Dr, Houston, TX 77047-3843 2020-02-10
1003448176 Lamberto L Amacan Driver 9319 Comanche Peak Ln, Houston, TX 77089-5855 2020-02-06
1629616628 Tamica Pugh Driver 11730 N Marianne Cir, Houston, TX 77071-3414 2019-12-20
1811534001 Eyong Batou Driver 6403 Sierra Blanca Dr Apt 1705, Houston, TX 77083-1547 2019-12-06
Find all providers in HOUSTON

Competitor

Search similar providers

City HOUSTON
Zip Code 77090

Improve Information

Please comment or provide details below to improve the information on KENNETH WILLIE DICKERSON SR..

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches