DR. KENNETH SHIVELY, M.D.

Family Medicine

Active Individual
NPI: 1932183449

Practice Address

900 I ST
Laporte, IN 46350

Phone: (219) 324-1950

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 01024055A (IN)

Frequently Asked Questions

NPI 1932183449 is the National Provider Identifier for DR. KENNETH SHIVELY, M.D., a Family Medicine provider located in Laporte, IN. This NPI was enumerated on November 30, 2005.
DR. KENNETH SHIVELY, M.D. practices at 900 I ST, Laporte, IN 46350.

Quick Facts

NPI
1932183449
Type
Individual
Enumerated
Nov 30, 2005
Last Updated
Jul 8, 2007

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