Individual provider · Type 1 NPI

Kenneth F. Shockley, DO

Urology Physician · Grand Rapids, MI

NPI number 1801854039 Active

Practice location

4047 E Hills Ct SE
Grand Rapids, MI 49546-6249

Fax (616) 956-5988

Mailing address

20952 E 12 Mile Rd Ste 200
St. Clair Shores, MI 48081-3203

Specialties and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000X5101010606 (MI)

Urology Physician: 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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About NPI 1801854039

Kenneth F. Shockley, DO's National Provider Identifier is 1801854039, issued on May 4, 2006. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Grand Rapids, MI. The record was last updated on Feb 18, 2026.