KENNETH WAYNE SANDERS

SHREVEPORT, LA
NPI1427080043
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck
(Licence: LA  022757)
Enumeration Date2006-07-06
Last Update Date2019-09-30
Business Address
KENNETH WAYNE SANDERS MD
8711 LINE AVE
SHREVEPORT, LA 71106-6813
Phone number: 318-698-8711
Mailing Address
KENNETH WAYNE SANDERS MD
1811 E BERT KOUNS INDUSTRIAL LOOP SUITE 160
SHREVEPORT, LA 71105-5740
Phone number: 318-212-3223
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