Individual provider · Type 1 NPI
Kenneth Tarter
Military Health Care Provider · Detroit, MI
NPI number
1255039210
Active
Practice location
2004 E Lafayette St
Detroit, MI 48207-3949
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider Primary | 171000000X | None listed |
Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
About NPI 1255039210
Kenneth Tarter's National Provider Identifier is 1255039210, issued on Feb 20, 2023. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Detroit, MI. The record was last updated on Feb 20, 2023.