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

Kandice Roetherford

Individual provider Driver · NPI 1154245553

Kandice Roetherford is a Driver in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2026

Practice location Address checks out

17275 Warwick St
Detroit, MI 48219-4207
Phone: (313) 742-9887
Show map & directions

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

Specialties & licences

Driver (primary) Taxonomy 172A00000X (MI)

Record details

NPI number1154245553
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 7, 2026
Last updated in NPPESAugust 7, 2026
Certification dateAugust 7, 2026
Mailing address17275 Warwick St, Detroit, MI 48219-4207

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