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Kenneth Shively, M.D
NPI 1932183449 · on the registry since 2005
Practice
- Address
- 900 I St
Laporte, IN 46350 - Phone
- (219) 324-1950
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana