KANDICE ROETHERFORD
NPI 1154245553
Driver in Detroit, MI
About Kandice Roetherford NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KANDICE ROETHERFORD (NPI 1154245553) is an individual driver provider in Detroit, Michigan and active in the NPI registry since August 2026.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kandice Roetherford's NPI number?
The NPI number for Kandice Roetherford is 1154245553. It was assigned to this individual provider in the NPPES registry on August 7, 2026.
Where is Kandice Roetherford located?
Kandice Roetherford practices at 17275 Warwick St, Detroit, MI 48219. The listed phone number is (313) 742-9887.
What is Kandice Roetherford's specialty?
The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.
When was this NPI record last updated?
The NPPES record for Kandice Roetherford was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kandice Roetherford · NPI 1154245553
Driver provider in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since August 7, 2026.
## Identity
- **NPI:** 1154245553 (Entity type: Individual)
- **Enumerated:** August 7, 2026
- **Primary specialty:** Driver · taxonomy 172A00000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 17275 WARWICK ST, Detroit, MI 48219-4207
- **Phone:** (313) 742-9887
## Record status
- **NPPES last updated:** August 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1154245553) · Data from the CMS NPPES public registry.