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

Dr. Kelly Susewitz Shakoor, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1043794829

Dr. Kelly Susewitz Shakoor, FNP-BC is a Family Nurse Practitioner in Redford, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2018
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

See every abbreviation used in this directory →

Practice location Address checks out

9315 Telegraph Rd
Redford, MI 48239-1260
Phone: (313) 450-4500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704239124 (MI)

Record details

NPI number1043794829
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedSeptember 18, 2018
Last updated in NPPESAugust 6, 2019

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