Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kenneth Daniel Shively, MD

Individual provider Family Medicine Physician · NPI 1932183449

Dr. Kenneth Daniel Shively, MD is a Family Medicine Physician in Laporte, Indiana. Licensed in Indiana. Registered with an NPI since 2005.

Licensed in
IN
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

900 I St
Laporte, IN 46350-5533
Phone: (219) 324-1950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01024055A (IN)

Record details

NPI number1932183449
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 30, 2005
Last updated in NPPESAugust 2, 2026
Mailing address328 N Michigan St, Ste. 200, South Bend, IN 46601-1244

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