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Kenneth F Shockley, DO
Urology Physician in Grand Rapids, Michigan
NPI 1801854039

Kenneth F Shockley is a Urology Physician based in Grand Rapids, MI. Kenneth F Shockley practices in Grand Rapids, MI and has the professional credentials of DO. The NPI Number for Kenneth F Shockley is 1801854039 and holds a License No. 5101010606 (Michigan).

The current practice location address for Kenneth F Shockley is 4047 Saladin Dr Se, Grand Rapids, MI and can be reached out via phone at 616-956-9577 and via fax at 616-956-5988.

Location: 4047 Saladin Dr Se, Grand Rapids, MI, 49546-6249
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801854039
Provider Name
Kenneth F Shockley
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
4047 Saladin Dr Se, Grand Rapids, MI, 49546-6249
Phone Number
616-956-9577
Fax Number
616-956-5988
Provider Enumeration Date
05/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3153602 05 MI
institution
Provider Business Practice Location Address Details
Address
4047 Saladin Dr Se
City
Grand Rapids
State
Michigan
Zip
49546-6249
Phone Number
616-956-9577
Fax Number
616-956-5988
person
Provider Business Mailing Address Details
Address
4047 Saladin Dr Se
City
Grand Rapids
State
Michigan
Zip
49546-6249
Phone Number
616-956-9577
Fax Number
616-956-5988
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
5101010606 (Michigan)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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