Individual provider · Type 1 NPI

Kelly Susewitz Shakoor, FNP-BC

Family Nurse Practitioner · Redford, MI

NPI number 1043794829 Active

Practice location

9315 Telegraph Rd
Redford, MI 48239-1260

Mailing address

4169 Kingston St
Dearborn Heights, MI 48125-3237

Other practice locations

  • 400 N Ingalls St, Ann Arbor, MI 48109-2003 · (734) 763-5985

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704239124 (MI)

Family Nurse Practitioner: Definition to come...

234 other providers at this address

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About NPI 1043794829

Kelly Susewitz Shakoor, FNP-BC's National Provider Identifier is 1043794829, issued on Sep 18, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Redford, MI. The record was last updated on Aug 6, 2019.