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

Kyle Richard Latack, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1710567417

Kyle Richard Latack, MD is an Obstetrics/Gynecology in Ann Arbor, Michigan. Graduated from University of Southern California Keck School of Medicine in 2021, 5 years ago. Licensed in Michigan.

Years since qualifying
5
Trained at
University of Southern California Keck School of Medicine
Licensed in
MI
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone: (734) 936-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 4301513758 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1710567417
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 8, 2021
Last updated in NPPESMay 13, 2025
Certification dateMay 13, 2025
Mailing address3621 S State St, Ann Arbor, MI 48108-1633

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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