NPI 1255039210
Kenneth Tarter
Practice location
- Address
- 2004 E Lafayette St, Detroit, MI 48207-3949
- Phone
- (248) 508-6039
Registered specialties
Military Health Care Provider
Primary
Registry record
- NPI
- 1255039210
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 20 Feb 2023
- Record last updated
- 20 Feb 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.