Kenneth James Tack, MD
Kenneth James Tack, MD is an Infectious Disease Physician in South Lyon, Michigan. Practices as a sole proprietor. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2023
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
10366 Stoney Point DrSouth Lyon, MI 48178-8053
Phone: (810) 355-8281
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Infectious Disease Physician (primary) | Taxonomy 207RI0200X · Licence 4301043465 (MI) |
|---|
Record details
| NPI number | 1932985850 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | September 6, 2023 |
| Last updated in NPPES | September 6, 2023 |
| Certification date | September 6, 2023 |
| Mailing address | 10366 Stoney Point Dr, South Lyon, MI 48178-8053 |