| Dr Kenneth Daniel Shively, MD | |
|
900 I St, Laporte, IN 46350-5533 | |
| (219) 324-1950 | |
| Not Available |
| Full Name | Dr Kenneth Daniel Shively |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 900 I St, Laporte, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932183449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01024055A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth Daniel Shively, MD 328 N Michigan St, Ste. 200, South Bend, IN 46601-1244 Ph: (574) 647-1845 | Dr Kenneth Daniel Shively, MD 900 I St, Laporte, IN 46350-5533 Ph: (219) 324-1950 |
Dr. Michael Duane Howard, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 900 I St, Laporte, IN 46350 Phone: 219-324-1700 Fax: 219-324-1710 | |
Dr. Daniel Evar Edquist, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 I St, Laporte, IN 46350 Phone: 219-324-1700 Fax: 219-324-1602 | |
Mr. Gary H Wheeland, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 500 Legacy Plaza West, Laporte, IN 46350 Phone: 219-326-0943 Fax: 219-326-5684 | |
Dr. George Larsen Kneller, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 I St, Laporte, IN 46350 Phone: 219-324-1700 Fax: 219-324-1710 |