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Contact Information

KENNETH SANDERS MD PLLC
2800 YOUREE DR
SUITE 110
SHREVEPORT, LA71104-3661
 Phone: 318-861-7533
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sleep Medicine

207YS0012X 04 Physician/Otolaryngology
 

Otolaryngology/Facial Plastic Surgery

207YX0905X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for KENNETH SANDERS MD PLLC

NPI # 1306917240
LBN Legal business name KENNETH SANDERS MD PLLC
Authorized official DANA SANDERS - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/13/2006
Last updated 12/28/2007 - About 18 years ago
Identifiers
LA License # 022757
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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