person
Dr. Kelly Susewitz Shakoor, FNP-BC
Family Nurse Practitioner in Redford, Michigan
NPI 1043794829

Kelly Susewitz Shakoor is a Family Nurse Practitioner based in Dearborn Heights, MI and is specialized in Family. Kelly Susewitz Shakoor practices in Redford, MI and has the professional credentials of FNP-BC. The NPI Number for Kelly Susewitz Shakoor is 1043794829 and holds a License No. 4704239124 (Michigan).

The current practice location address for Kelly Susewitz Shakoor is 9315 Telegraph Rd, Redford, MI and can be reached out via phone at 313-450-4500.

Location: 9315 Telegraph Rd, Redford, MI, 48125-3237
person
Provider Profile Details
NPI Number
1043794829
Provider Name
Kelly Susewitz Shakoor
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
9315 Telegraph Rd, Redford, MI, 48125-3237
Phone Number
313-450-4500
Fax Number
Provider Enumeration Date
09/18/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9315 Telegraph Rd
City
State
Zip
48239-1260
Phone Number
313-450-4500
Fax Number
person
Provider Business Mailing Address Details
Address
9315 Telegraph Rd
City
State
Zip
48239-1260
Phone Number
313-450-4500
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
4704239124 (Michigan)
Definition
Definition to come...
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