SearchMichigan164W00000X

Keenan Tenant

NPI 1164911244 · on the registry since 2018

Practice

Address
28241 Gilbert Dr
Warren, MI 48093
Phone
(313) 221-3555

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-05-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan