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

Keinnan Hares

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1528853900

Keinnan Hares is a Student in an Organized Health Care Education/Training Program in Detroit, Michigan. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

3990 John R St Ste 615
Detroit, MI 48201-2018
Phone: (313) 745-4195
Fax: (313) 993-8669
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1528853900
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 14, 2025
Last updated in NPPESApril 14, 2025
Certification dateApril 14, 2025
Mailing address7015 Balmoral Dr, West Bloomfield, MI 48322-2775

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