KENNETH JAMES TACK MD
NPI 1932985850
Internal Medicine - Infectious Disease in South Lyon, MI

Q: What is Kenneth Tack's NPI number?

The NPI number for Kenneth Tack is 1932985850. It was assigned to this individual provider in the NPPES registry on September 6, 2023.

Q: What is Kenneth Tack's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Tack was last updated on September 6, 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.

Active since September 06, 2023

10366 STONEY POINT DR, SOUTH LYON, MI 48178(810) 355-8281 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Kenneth James Tack Md NPPES

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

KENNETH JAMES TACK MD (NPI 1932985850) is an individual infectious disease provider in South Lyon, Michigan, licensed in Michigan (4301043465) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1932985850

Entity TypeIndividualMale

Primary Taxonomy207RI0200X

Provider Legal NameKENNETH JAMES TACKCredential: MD

Location Address10366 STONEY POINT DRSouth Lyon, MI 48178-8053

Mailing Address10366 Stoney Point DrSouth Lyon, MI 48178-8053 · (810) 355-8281

Phone(810) 355-8281

Sole ProprietorYes

Enumeration DateSeptember 6, 2023

NPPES CertifiedSeptember 6, 2023

✔ NPI 1932985850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

License✔ Licensed in MI · 4301043465

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

10366 STONEY POINT DR, South Lyon, MI 48178

Open in Google Maps ↗

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 Tack's NPI number?

The NPI number for Kenneth Tack is 1932985850. It was assigned to this individual provider in the NPPES registry on September 6, 2023.

Where is Kenneth Tack located?

Kenneth Tack practices at 10366 Stoney Point Dr, South Lyon, MI 48178. The listed phone number is (810) 355-8281.

What is Kenneth Tack's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

When was this NPI record last updated?

The NPPES record for Kenneth Tack was last updated on September 6, 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.