KENNETH SHOCKLEY, D.O.
Urology
Active
Individual
NPI: 1801854039
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Urology | 208800000X | Yes | 5101010606 (MI) |
Frequently Asked Questions
NPI 1801854039 is the National Provider Identifier for KENNETH SHOCKLEY, D.O., a Urology provider located in Grand Rapids, MI. This NPI was enumerated on May 4, 2006.
KENNETH SHOCKLEY, D.O. practices at 4047 SALADIN DR SE, Grand Rapids, MI 49546.
Quick Facts
- NPI
- 1801854039
- Type
- Individual
- Enumerated
- May 4, 2006
- Last Updated
- Oct 17, 2017
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