OrganizationActive
Kenneth W. Sanders, MD and Willis-Knighton Medical Center
NPI 1912936196 · Plastic and Reconstructive Surgery Physician · Shreveport, LA
Provider details
- NPI number
- 1912936196
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Greg Gavin, Network Administrator
Practice location
1811 East Bert Kouns
Suite 160
Shreveport, LA 71105-5505
Phone: (318) 212-3223
Fax: (318) 212-3989
Mailing address
1811 East Bert Kouns
Shreveport, LA 71105-5505
Registry dates
- Enumerated
- 2006-07-01
- Last updated
- 2012-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.