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

Kenneth Tarter

Individual provider Military Health Care Provider · NPI 1255039210

Kenneth Tarter is a Military Health Care Provider in Detroit, Michigan. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

2004 E Lafayette St
Detroit, MI 48207-3949
Phone: (248) 508-6039
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Military Health Care Provider (primary) Taxonomy 171000000X

Record details

NPI number1255039210
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 20, 2023
Last updated in NPPESFebruary 20, 2023
Certification dateFebruary 20, 2023

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