Kenneth W Sanders (NPI# 1427080043, PAC ID# 2264491497) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1427080043 |
| PAC ID by PECOS | 2264491497 |
| Professional Enrollment ID | I20041005000218 |
| Full Name | Kenneth W Sanders |
| Address |
8711 Line Ave Shreveport LA 71106-6813 |
| Gender | M |
| Credential | MD |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 1995 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Secondary Specialties | OTOLARYNGOLOGY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 8711 Line Ave, Shreveport, LA 71106-6813 |
| Street Address |
8711 LINE AVE |
| City | SHREVEPORT |
| State | LA |
| Zip | 71106-6813 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kamal A Masri | Internal Medicine | 3801 Creswell Ave, Unit 19, Shreveport, LA 71106-1257 | |
| Michael D Pickering | Optometry | Eye Care, Inc | 5848 Line Ave, Shreveport, LA 71106-1532 |
| Carla Carter | Optometry | Eye Care, Inc | 5848 Line Ave, Shreveport, LA 71106-1532 |
| Jessica K Lantz | Optometry | Eye Care, Inc | 5848 Line Ave, Shreveport, LA 71106-1532 |
| Robert Newton Schwendimann | Neurology | Remote Neuromonitoring Physicians PC | 751 Oneonta St, Shreveport, LA 71106-1623 |
| Kelly A Yerger | Nurse Practitioner | 910 Pierremont Rd, Suite 234, Shreveport, LA 71106-2058 | |
| Lindsey A Pennington | Otolaryngology | 6030 Line Ave, Suite 110, Shreveport, LA 71106-2073 | |
| Tiffany A Jennings | Psychologist, Clinical | 920 Pierremont Rd, Suite 205, Shreveport, LA 71106-2093 | |
| Brandy Morgan Stroud | Clinical Social Worker | Interactional Services, Inc | 707 Southfield Rd, Shreveport, LA 71106-2219 |
| Linda I Grayson | Clinical Social Worker | Interactional Services, Inc | 707 Southfield Rd, Shreveport, LA 71106-2219 |
| Find all physicians in zip 71106 | |||
| City | SHREVEPORT |
| Zip Code | 71106 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | SHREVEPORT + PLASTIC AND RECONSTRUCTIVE SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.