Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH WAYNE SANDERS, MD
Active Sole ProprietorKENNETH WAYNE SANDERS, MD is a Plastic Surgery within the Head & Neck healthcare provider located in SHREVEPORT, Louisiana. NPI 1427080043 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery within the Head & Neck · SHREVEPORT, LA
Registration Details
- NPI Number
- 1427080043
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 6, 2006 (19.91925034459 yrs)
- Last Updated
- Sep 30, 2019
- License
-
022757 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8711 LINE AVESHREVEPORT, LA, 711066813Browse LA providers · Browse ZIP 71106
- Phone
- 3186988711
- Fax
- 3189886766
- Primary Specialty
-
Plastic Surgery within the Head & Neck
207YX0007X
Other Plastic Surgery within the Head & Neck Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID RENGIFO | MD | 1811485782 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.