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

Individual provider Peer Specialist · NPI 1538956180

Keith R Whitley Jr., CPSS is a Peer Specialist in Detroit, Michigan. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025
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Practice location Address checks out

15025 Fenkell St
Detroit, MI 48227-2647
Phone: (313) 345-4310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1538956180
Entity typeIndividual (Type 1)
GenderMale
Credentials CPSS
Sole proprietorYes
NPI enumeratedApril 24, 2025
Last updated in NPPESApril 24, 2025
Certification dateApril 24, 2025

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