Organization
KENNETH W SANDERS PLLC
Active
Other names
K W Sanders MD PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
RON F DAVIS (PARTNER OFFICER)
(501) 985-6590
Entity
Organization
Contact information
Practice address
2800 YOUREE DRIVE, SUITE 100A, SHREVEPORT, LA 71104
(318) 797-5602
(318) 797-5600
Mailing address
PO BOX 44072, SHREVEPORT, LA 71134
(318) 797-5602
(318) 797-5600
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
—
—
207YS0012X
Sleep Medicine (Otolaryngology) Physician
Primary
—
—
207YS0123X
Facial Plastic Surgery Physician
—
—
207YX0901X
Otology & Neurotology Physician
—
—
235500000X
Speech/Language/Hearing Specialist/Technologist
—
—
Other
Enumeration date
11/14/2006
Last updated
09/11/2025
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