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

DR. KENNETH DANIEL SHIVELY, M.D.

Active

DR. KENNETH DANIEL SHIVELY, M.D. is a Family Medicine healthcare provider located in LAPORTE, Indiana. NPI 1932183449 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · LAPORTE, IN

Registration Details

NPI Number
1932183449
Provider Type
Individual
Gender
Male
NPI Issued
Nov 30, 2005 (20.704607639116 yrs)
Last Updated
Jul 8, 2007
License
01024055A (IN)

Practice Information

Address
900 I ST
LAPORTE, IN, 463505533
Browse IN providers · Browse ZIP 46350
Phone
2193241950
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in LAPORTE, IN

Name Credential NPI
DR. DANIEL EVAR EDQUIST M.D. 1295723542
DR. MICHAEL DUANE HOWARD M.D. 1245228386
DR. GEORGE LARSEN KNELLER M.D. 1598756256
MR. GARY H WHEELAND MD 1457312357
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.