MEDICARE: DR. KENT SAUNDERS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	C170850	CA

General Provider Information

NPI Number	:	1881844116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KENT SAUNDERS M.D.

Provider Business Mailing Address
First Line	:	6730 N WEST AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-4301
Country	:	US
Telephone Number	:	559-439-3000
Fax Number	:	559-439-3004

Provider Business Practice Location Address
First Line	:	6730 N WEST AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-4301
Country	:	US
Telephone Number	:	559-439-3000
Fax Number	:	559-439-3004

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2008
Last Update Date	:	08/02/2023

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