person
Kenneth Tarter
Military Health Care Provider in Detroit, Michigan
NPI 1255039210

Kenneth Tarter is a Military Health Care Provider based in Detroit, MI. Kenneth Tarter practices in Detroit, MI. The NPI Number for Kenneth Tarter is 1255039210 and holds a License No. (Michigan).

The current practice location address for Kenneth Tarter is 2004 E Lafayette St, Detroit, MI and can be reached out via phone at 248-508-6039. You can also correspond with Kenneth Tarter through the mailing address at 2004 E LAFAYETTE ST, DETROIT, MI - 48207-3949 (mailing address contact number: ).

Location: 2004 E Lafayette St, Detroit, MI, 48207-3949
person
Provider Profile Details
NPI Number
1255039210
Provider Name
Kenneth Tarter
Credential
Provider Entity Type
Individual
Gender
Male
Address
2004 E Lafayette St, Detroit, MI, 48207-3949
Phone Number
248-508-6039
Fax Number
Provider Enumeration Date
02/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2004 E Lafayette St
City
State
Zip
48207-3949
Phone Number
248-508-6039
Fax Number
person
Provider Business Mailing Address Details
Address
2004 E Lafayette St
City
State
Zip
48207-3949
Phone Number
248-508-6039
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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