Kenneth W Sanders PLLC

Primary specialty

Sleep Medicine (Otolaryngology) PhysicianTaxonomy code 207YS0012X

Legal business name

KENNETH W SANDERS PLLC

Practice address

2800 Youree Drive
Suite 100a
Shreveport, LA 71104

Phone

(318) 797-5602

Fax

(318) 797-5600

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Ron F Davis

Title

Partner Officer

Phone

(501) 985-6590

Specialties & licenses 5

Addresses

Other names 1

• K W Sanders MD PLLC Other name

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 Sanders MD PLLC

  • Sleep Medicine (Otolaryngology) Physician
  • Shreveport, LA
  • NPI 1306917240
  NPD tax ID

Locations

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": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1396817722",
    "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 DRIVE",
            "address_2": "SUITE 100A",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71104",
            "telephone_number": "318-797-5602",
            "fax_number": "318-797-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH W SANDERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "RON",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PARTNER  OFFICER",
        "authorized_official_telephone_number": "501-985-6590"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "K W Sanders MD PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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

• 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 Sep 11, 2025; 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.