Kenneth Wayne Sanders in Shreveport - Plastic Surgery Within The Head & Neck

Kenneth Wayne Sanders - NPI 1427080043

Kenneth Wayne Sanders is a Plastic Surgery Within The Head & Neck in Shreveport, Louisiana. Kenneth Wayne Sanders practices all healthcare services and medical treatments related to Plastic Surgery Within The Head & Neck. The NPI Number for Kenneth Wayne Sanders is 1427080043. The last update date is 2019-09-30.

Kenneth Wayne Sanders's current location address is 8711 Line Ave, Shreveport, Louisiana. You can contact this provider via phone number 3186988711 and fax number 3189886766. The mailing address for Kenneth Wayne Sanders is 8711 Line Ave, Shreveport, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Wayne Sanders
Address 8711 Line Ave, Shreveport, Louisiana
Phone Number 3186988711
Fax Number 3189886766
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1427080043
Provider Enumeration Date 2006-07-06
Last Updated Date 2019-09-30

Provider Mailing Address Detail

Address 8711 Line Ave
City Shreveport
State Louisiana (LA)
Post Code 711066813
Phone Number 3186988711
Fax Number 3189886766

Provider's Primary Taxonomy Detail

Speciality Plastic Surgery Within The Head & Neck
Taxonomy 207Yx0007X
Licence No 22757
Definition:
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissu

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1686735 LA --

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FAQs about Kenneth Wayne Sanders

What is the unique 10-digit identifier code issued to Kenneth Wayne Sanders by the Centers for Medicare & Medicaid Services?

The Kenneth Wayne Sanders has been assigned the NPI (National Provider Identifier) 1427080043 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Kenneth Wayne Sanders's facilities are geographically located?

The facilities of Kenneth Wayne Sanders are physically situated at the following location: 8711 Line Ave, Shreveport, LA, 711066813.

What is Kenneth Wayne Sanders's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Kenneth Wayne Sanders is Plastic Surgery Within The Head & Neck, and the taxonomy code that classifies this field of practice is 207Yx0007X.

When was the Kenneth Wayne Sanders's 1427080043 issued?

The Kenneth Wayne Sanders's 1427080043 was issued on 2006-07-06.

As of what date was the information pertaining to Kenneth Wayne Sanders, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Kenneth Wayne Sanders, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-09-30.

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