Kenneth Sanders MD PLLC

Primary specialty

Sleep Medicine (Otolaryngology) PhysicianTaxonomy code 207YS0012X

License

022757 Issued in LA

Legal business name

KENNETH SANDERS MD PLLC

Practice address

2800 Youree Dr
Suite 110
Shreveport, LA 71104-3661

Phone

(318) 861-7533

NPI assigned

Nov 13, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dana Lynn Sanders, RN

Title

Office Manager

Phone

(318) 797-5602

Specialties & licenses 2

Addresses

Tax ID family

K W Sanders MD PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kenneth W Sanders PLLC

  • Sleep Medicine (Otolaryngology) Physician
  • Shreveport, LA
  • NPI 1396817722
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth Wayne Sanders, MD

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Shreveport, LA
  • NPI 1427080043
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1306917240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44072",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71134",
            "telephone_number": "318-797-5602",
            "fax_number": "318-797-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 YOUREE DR",
            "address_2": "SUITE 110",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711043661",
            "telephone_number": "318-861-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH SANDERS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "318-797-5602",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207YS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Sleep Medicine",
            "state": "LA",
            "license": "022757",
            "primary": true
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "LA",
            "license": "022757",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Kennedy, PLPC
• Paige Kennedy
• Patricia T Kennedy, FNP
• Robert Craig Kennedy, LPC
• Sherry Kennedy, RN
• Kenneth W Sanders PLLC
• Kenneth W. Sanders, MD and Willis-Knighton Medical Center
• Kenneth W. Sanders, MD LLC
• Robert A Kenney III, PT
• Jeffrey Lynn Kennington, RN

• Otolaryngology Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Otolaryngology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.