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Kenneth Tarter — NPI 1255039210, Detroit, MI | NPI Central

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NPI 1255039210

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Kenneth Tarter

NPI 1255039210 · Military Health Care Provider · Detroit, MI

Provider details

NPI number: 1255039210
Entity type: Individual
Primary specialty: Military Health Care ProviderOther Service Providers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Military Health Care ProviderPrimary171000000X
Other Service Providers

Practice location

2004 E Lafayette St

Detroit, MI 48207-3949

Phone: (248) 508-6039

Approximate (ZIP-level) locationGet directions

More MI providers

Mailing address

2004 E Lafayette St

Detroit, MI 48207-3949

Registry dates

Enumerated: 2023-02-20
Last updated: 2023-02-20
Certified: 2023-02-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.