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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KELLY SUSEWITZ SHAKOOR, FNP-BC

Active

DR. KELLY SUSEWITZ SHAKOOR, FNP-BC is a Family Nurse Practitioner healthcare provider located in REDFORD, Michigan. NPI 1043794829 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · REDFORD, MI

Registration Details

NPI Number
1043794829
Provider Type
Individual
Gender
Female
NPI Issued
Sep 18, 2018 (7.8806746064927 yrs)
Last Updated
Aug 6, 2019
License
4704239124 (MI)

Practice Information

Address
9315 TELEGRAPH RD
REDFORD, MI, 482391260
Browse MI providers · Browse ZIP 48239
Phone
3134504500
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in REDFORD, MI

Name Credential NPI
MRS. THERESA PLAYER ROWRY FNP-C 1164828356
SHANNON MARCETIC 1144771379
MRS. SMITHA GEORGY NP- BC 1356811822
COURT'NEE ANN DESMOND MSN-FNP-C 1942849856
ANDREA LIGE NP-C 1891325627
NATHAN ALLEN JOHNSON FNP-BC 1063024891
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.