Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH F SHOCKLEY, D.O.
Active Sole ProprietorKENNETH F SHOCKLEY, D.O. is a Urology healthcare provider located in GRAND RAPIDS, Michigan. NPI 1801854039 is currently active in the NPPES registry. Verify at CMS.
Urology · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1801854039
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 4, 2006 (20.239883785269 yrs)
- Last Updated
- Feb 18, 2026
- License
-
5101010606 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4047 E HILLS CT SEGRAND RAPIDS, MI, 495466249Browse MI providers · Browse ZIP 49546
- Phone
- 6169569577
- Fax
- 6169565988
- Primary Specialty
-
Urology
208800000X
Other Urology Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| DR. THOMAS J MAATMAN | D.O. | 1376501502 |
| GRAHAM BARNETT | MD | 1366498222 |
| THOMPSON SOUTHWELL JR. | MD | 1427005388 |
| JONATHAN TODD BOLTHOUSE | MD | 1518906221 |
| PHILIP HOEKSTRA | MD | 1558301556 |
| RICHARD KAHNOSKI | MD | 1093755092 |
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.