1. Home
  2. Directory
  3. Michigan
  4. Detroit
  5. Military Health Care Provider
  6. NPI Profile

KENNETH TARTER
NPI 1255039210
Military Health Care Provider in Detroit, MI

Active since February 20, 2023
2004 E LAFAYETTE ST, DETROIT, MI 48207(248) 508-6039 Get Directions Write a Review

NPPES record last updated: February 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth Tarter NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH TARTER (NPI 1255039210) is an individual military health care provider provider in Detroit, Michigan and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1255039210
Entity TypeIndividualMale
Primary Taxonomy171000000X
Provider Legal NameKENNETH TARTER
Location Address2004 E LAFAYETTE STDetroit, MI 48207-3949
Mailing Address2004 E Lafayette StDetroit, MI 48207-3949
Phone(248) 508-6039
Sole ProprietorYes
Enumeration DateFebruary 20, 2023
NPPES CertifiedFebruary 20, 2023
✔ NPI 1255039210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
2004 E LAFAYETTE ST, Detroit, MI 48207
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Kenneth Tarter's NPI number?

The NPI number for Kenneth Tarter is 1255039210. It was assigned to this individual provider in the NPPES registry on February 20, 2023.

Where is Kenneth Tarter located?

Kenneth Tarter practices at 2004 E Lafayette St, Detroit, MI 48207. The listed phone number is (248) 508-6039.

What is Kenneth Tarter's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

When was this NPI record last updated?

The NPPES record for Kenneth Tarter was last updated on February 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.