Individual
KENISHA JEAN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17260 W 10 MILE RD, SOUTHFIELD, MI 48075-2949
(248) 809-6553
(248) 809-6583
Mailing address
17260 W 10 MILE RD, SOUTHFIELD, MI 48075-2949
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301502815
MI
Other
Enumeration date
06/27/2017
Last updated
03/20/2026
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