Keith Tanner
Contractor · Detroit, MI
NPI number
1134858236
Practice location
16656 Parkside StDetroit, MI 48221-3153
- Phone
- (313) 989-5536
NPI record
- NPI
- 1134858236
- Entity type
- Individual (Type 1)
- Enumeration date
- June 6, 2022
- Last updated
- June 6, 2022
- Certified
- June 6, 2022
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Contractor Primary | 171W00000X |
— | — |
About Keith Tanner
Keith Tanner is a healthcare provider registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 16656 Parkside St, Detroit, MI 48221-3153. The NPI number 1134858236 was assigned on June 6, 2022 and the record was last updated on June 6, 2022.
Frequently asked questions
What is the NPI number of Keith Tanner?
The NPI number is 1134858236.
What is the phone number of Keith Tanner?
The phone number listed for the practice location is (313) 989-5536.
Where is Keith Tanner located?
16656 Parkside St, Detroit, MI 48221-3153.
What is the taxonomy code for Keith Tanner?
The primary taxonomy code is 171W00000X – Contractor.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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