Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Kelly Dean Sanders, LSA

Individual provider Surgical Physician Assistant · NPI 1619296274

Mr. Kelly Dean Sanders, LSA is a Surgical Physician Assistant in Arlington, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2010
Specialties on file
2

Practice location Address checks out

7309 Winding Way Dr
Arlington, TX 76001-2006
Phone: (817) 714-9066
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence SA00575 (TX)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 381 (TX)

Record details

NPI number1619296274
Entity typeIndividual (Type 1)
GenderMale
Credentials LSA
Sole proprietorYes
NPI enumeratedMay 21, 2010
Last updated in NPPESMarch 28, 2020
Certification dateMarch 28, 2020

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