KENNETH W. SANDERS, MD AND WILLIS-KNIGHTON MEDICAL CENTER – NPI #1912936196
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

KENNETH W. SANDERS, MD AND WILLIS-KNIGHTON MEDICAL CENTER is a surgeon located in SHREVEPORT, LA. NPPES has assigned the NPI number 1912936196 to KENNETH W. SANDERS, MD AND WILLIS-KNIGHTON MEDICAL CENTER on July 01, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

The NPI profile was previously updated about 14 years ago on Jun 08, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KENNETH W. SANDERS, MD AND WILLIS-KNIGHTON MEDICAL CENTER below.

NPI Profile for
KENNETH W. SANDERS, MD AND WILLIS-KNIGHTON MEDICAL CENTER

NPI Number
1912936196
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KENNETH W. SANDERS, MD AND WILLIS-KNIGHTON MEDICAL CENTER
Primary location
1811 EAST BERT KOUNS
SUITE 160
SHREVEPORT, LA 71105-5505
Phone: (318) 212-3223 Fax: (318) 212-3989
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GREG GAVIN
NETWORK ADMINISTRATOR
Phone: (318) 212-3223
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.