KENNETH WILLIE DICKERSON SR.
NPI 1043744790
Driver in Houston, TX

Q: What is Kenneth Dickerson's NPI number?

The NPI number for Kenneth Dickerson is 1043744790. It was assigned to this individual provider in the NPPES registry on April 19, 2017.

Q: What is Kenneth Dickerson's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Dickerson was last updated on April 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 19, 2017

15530 ELLA BLVD APT 719, HOUSTON, TX 77090(832) 892-1079 Get Directions Write a Review

NPPES record last updated: April 19, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kenneth Willie Dickerson Sr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH WILLIE DICKERSON SR. (NPI 1043744790) is an individual driver provider in Houston, Texas, licensed in Texas (24512126) and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1043744790

Entity TypeIndividualMale

Primary Taxonomy172A00000X

Provider Legal NameKENNETH WILLIE DICKERSON SR.

Location Address15530 ELLA BLVD APT 719Houston, TX 77090

Mailing Address15530 Ella Blvd Apt 719Houston, TX 77090-5310 · (832) 892-1079

Phone(832) 892-1079

Sole ProprietorYes

Enumeration DateApril 19, 2017

✔ NPI 1043744790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDriverOther Service Providers

Taxonomy Code172A00000X

License✔ Licensed in TX · 24512126

Definition

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

Also ListedPrevention ProfessionalTaxonomy 405300000X · License 24512126 (TX)

15530 ELLA BLVD APT 719, Houston, TX 77090

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Dickerson's NPI number?

The NPI number for Kenneth Dickerson is 1043744790. It was assigned to this individual provider in the NPPES registry on April 19, 2017.

Where is Kenneth Dickerson located?

Kenneth Dickerson practices at 15530 Ella Blvd Apt 719, Houston, TX 77090. The listed phone number is (832) 892-1079.

What is Kenneth Dickerson's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Dickerson was last updated on April 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.