KENNETH SANDERS MD PLLC - NPI 1306917240 - Otolaryngology in Shreveport, LA

Q: What is Kenneth Sanders MD PLLC's NPI number?

The NPI number for Kenneth Sanders MD PLLC is 1306917240. It was assigned to this organization in the NPPES registry on November 13, 2006.

Q: What is Kenneth Sanders MD PLLC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Sleep Medicine, with taxonomy code 207YS0012X.

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About Kenneth Sanders Md Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH SANDERS MD PLLC (NPI 1306917240) is a healthcare organization registered as a sleep medicine in Shreveport, Louisiana and active in the NPI registry since November 2006. The organization lists Dana Lynn Sanders, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1306917240

Entity TypeOrganization

Primary Taxonomy207YS0012X

Legal Business NameKENNETH SANDERS MD PLLC

Location Address2800 YOUREE DR, SUITE 110Shreveport, LA 71104-3661

Mailing AddressPo Box 44072Shreveport, LA 71134 · (318) 797-5602 · Fax (318) 797-5600

Phone(318) 861-7533

Organization SubpartNo

Authorized OfficialDana Lynn SandersOffice Manager · (318) 797-5602

Enumeration DateNovember 13, 2006

Last NPPES UpdateDecember 28, 2007

✔ NPI 1306917240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Sleep MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207YS0012X

License✔ Licensed in LA · 022757

Definition

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.

Also ListedOtolaryngology · Otolaryngology/Facial Plastic SurgeryTaxonomy 207YX0905X · License 022757 (LA)

2800 YOUREE DR, Shreveport, LA 71104

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Other Identifiers 2

Medicare PIN5Y181LA

Medicare UPING39728

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUNSHINE MENTAL HEALTH COUNSELING SERVICE, LLC

Counselor (Professional)

2800 YOUREE DR, BLDG B SUITE 426
SHREVEPORT, LA 71104

Caddo Parish (318) 617-4385

MS. JAYESHA DANIELLE GUICE

Case Manager/Care Coordinator