Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kenisha Jean Evans, MD

Individual provider Internal Medicine Physician · NPI 1447770722

Kenisha Jean Evans, MD is an Internal Medicine in Southfield, Michigan. Qualified in 2017, 9 years ago. Practices with Theoria Medical, a 342-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
9
Licensed in
MI
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

17260 W 10 Mile Rd
Southfield, MI 48075-2949
Phone: (248) 809-6553
Fax: (248) 809-6583
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4301502815 (MI)

Record details

NPI number1447770722
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 27, 2017
Last updated in NPPESMarch 20, 2026
Certification dateMarch 20, 2026
Mailing address17260 W 10 Mile Rd, Southfield, MI 48075-2949

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Theoria Medical — 342 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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