Provider Demographics
NPI:1396196960
Name:STRINGER, KEITH ONEAL
Entity Type:Individual
Prefix:MR
First Name:KEITH
Middle Name:ONEAL
Last Name:STRINGER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19436 PACKARD ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48234-3195
Mailing Address - Country:US
Mailing Address - Phone:313-231-6049
Mailing Address - Fax:
Practice Address - Street 1:19436 PACKARD ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48234-3195
Practice Address - Country:US
Practice Address - Phone:313-231-6049
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-24
Last Update Date:2016-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist