Mr Kelly Dean Sanders, LSA is a
Specialist/technologist, Other - Surgical Assistant based in Arlington, Texas. Mr Kelly Dean Sanders is licensed to practice in Texas (license number SA00575) and his current practice location is
7309 Winding Way Dr, Arlington, Texas. He can be reached at his office (for appointments etc.) via phone at
(817) 714-9066.
NPI number for Mr Kelly Dean Sanders is 1619296274 and his current mailing address is 7309 Winding Way Dr, Arlington, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619296274.
Provider's Profile
| Full Name | Mr Kelly Dean Sanders |
|---|
| Gender | Male |
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| Speciality | Specialist/technologist, Other - Surgical Assistant |
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| Location | 7309 Winding Way Dr, Arlington, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1619296274
- Provider Enumeration Date: 05/21/2010
- Last Update Date: 03/28/2020
Medical Identifiers
Medical identifiers for Mr Kelly Dean Sanders such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619296274 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AS0400X | Physician Assistant - Surgical | 381 (Texas) | Secondary |
| 246ZC0007X | Specialist/technologist, Other - Surgical Assistant | SA00575 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kelly Dean Sanders is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Kelly Dean Sanders, LSA
7309 Winding Way Dr,
Arlington, TX 76001-2006
Ph: (817) 714-9066 | Mr Kelly Dean Sanders, LSA
7309 Winding Way Dr,
Arlington, TX 76001-2006
Ph: (817) 714-9066 |
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