Organization
KENNETH W. SANDERS, MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH W. SANDERS MD (MD)
(318) 469-1956
Entity
Organization
Contact information
Practice address
1811 EAST BERT KOUNS, SUITE 160, SHREVEPORT, LA 71105
(318) 212-3223
(318) 212-3989
Mailing address
1811 EAST BERT KOUNS, SUITE 160, SHREVEPORT, LA 71105
(318) 212-3223
(318) 212-3989
Taxonomy
Speciality
Code
Description
License number
State
207YS0012X
Sleep Medicine (Otolaryngology) Physician
—
—
207YS0123X
Facial Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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