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KENNETH SANDERS MD PLLC NPI 1306917240


NPI Information

NPI: 1306917240
Provider Name: KENNETH SANDERS MD PLLC
Classification: Otolaryngology - 207YS0012X
Entity Type: Organization

Specialization: Sleep Medicine

Address:
2800 YOUREE DR
SUITE 110
SHREVEPORT, LA
ZIP 71104
Phone: (318) 861-7533
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KENNETH SANDERS MD PLLC is a sleep medicine otolaryngology in Shreveport, LA. The provider is an Otolaryngologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. KENNETH SANDERS MD PLLC NPI is 1306917240. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2800 YOUREE DR
SUITE 110
SHREVEPORT, LA
ZIP 71104-661
Phone: (318) 861-7533

The provider's authorized official is Dana Lynn Sanders .
The authorized official title is Office Manager and has the following contact phone number (318) 797-5602.

The enumeration date for this NPI number is 11/13/2006 and was last updated on 12/28/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207YX0905XOtolaryngologyOtolaryngology/Facial Plastic Surgery022757LOUISIANANo
2207YS0012XOtolaryngologySleep Medicine022757LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15Y181MEDICARE PINLOUISIANA
2G39728MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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