Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH TARTER
Active Sole ProprietorKENNETH TARTER is a Military Health Care Provider healthcare provider located in DETROIT, Michigan. NPI 1255039210 is currently active in the NPPES registry. Verify at CMS.
Military Health Care Provider · DETROIT, MI
Registration Details
- NPI Number
- 1255039210
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 20, 2023 (3.5146975780398 yrs)
- Last Updated
- Feb 20, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
2004 E LAFAYETTE STDETROIT, MI, 482073949Browse MI providers · Browse ZIP 48207
- Phone
- 2485086039
- Primary Specialty
-
Military Health Care Provider
171000000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.