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

Keith Tanner

Individual provider Contractor · NPI 1134858236

Keith Tanner is a Contractor in Detroit, Michigan. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
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Practice location Address checks out

16656 Parkside St
Detroit, MI 48221-3153
Phone: (313) 989-5536
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X

Record details

NPI number1134858236
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 6, 2022
Last updated in NPPESJune 6, 2022
Certification dateJune 6, 2022
Mailing address16656 Parkside St, Detroit, MI 48221-3153

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