Healthcare Provider Details

I. General information

NPI: 1225599350
Provider Name (Legal Business Name): KARRI ELYSE HESTER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2019
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16001 W 9 MILE RD
SOUTHFIELD MI
48075-4818
US

IV. Provider business mailing address

16001 W 9 MILE RD
SOUTHFIELD MI
48075-4818
US

V. Phone/Fax

Practice location:
  • Phone: 586-226-6120
  • Fax: 586-226-6123
Mailing address:
  • Phone: 586-226-6120
  • Fax: 586-226-6123

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License Number4301518188
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: