Kenneth F Shockley in Grand Rapids - Urology
Kenneth F Shockley - NPI 1801854039
Kenneth F Shockley is a Urology in Grand Rapids, Michigan. Kenneth F Shockley practices all healthcare services and medical treatments related to Urology. The NPI Number for Kenneth F Shockley is 1801854039. The last update date is 2017-10-17.
Kenneth F Shockley's current location address is 4047 Saladin Dr Se, Grand Rapids, Michigan. You can contact this provider via phone number 6169569577 and fax number 6169565988. The mailing address for Kenneth F Shockley is 4047 Saladin Dr Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth F Shockley |
|---|---|
| Address | 4047 Saladin Dr Se, Grand Rapids, Michigan |
| Phone Number | 6169569577 |
| Fax Number | 6169565988 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1801854039 |
|---|---|
| Provider Enumeration Date | 2006-05-04 |
| Last Updated Date | 2017-10-17 |
Provider Mailing Address Detail
| Address | 4047 Saladin Dr Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495466249 |
| Phone Number | 6169569577 |
| Fax Number | 6169565988 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | 5101010606 |
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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 acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3153602 | MI | -- |
Post Comment/ Review Below
What is the Kenneth F Shockley's 1801854039?
The Kenneth F Shockley's NPI (National Provider Identifier) Number is 1801854039. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Kenneth F Shockley?
The Kenneth F Shockley is physically situated at 4047 Saladin Dr Se, in the city of Grand Rapids, state of MI, with the postal code 495466249.
What is Kenneth F Shockley's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kenneth F Shockley's area of specialization is Urology, and the corresponding taxonomy code that categorizes this field of practice is 208800000X.
When did the Kenneth F Shockley receive its 1801854039?
The Kenneth F Shockley was issued its 1801854039 on 2006-05-04, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Kenneth F Shockley, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kenneth F Shockley, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-10-17.
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