Sanders, Kenneth L.

Sanders, Kenneth L. is an individual health care provider with primary practice located at 5201 Harry Hines Blvd Medical Staff Services, Dallas TX 75235-7708. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Sanders, Kenneth L. can be contacted via phone (214) 590-8006.

Contact Information

Primary practice address
5201 Harry Hines Blvd Medical Staff Services Dallas TX 75235-7708
Phone: (214) 590-8006
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00304 Texas

Profile Details

NPI number 1023018405
LBN Legal business name Sanders, Kenneth L.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2005
Last updated Jul 8th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023018405 NPPES
Texas MEDICAID 179883701
Texas Other 8N4898
Texas Other P00705552

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