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

Kenneth A Shaver, MD

Individual provider Family Medicine Physician · NPI 1629090949

Kenneth A Shaver, MD is a Family Medicine Physician in Anderson, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1601 Medical Arts Blvd Ste 100
Anderson, IN 46011-3459
Phone: (765) 298-5700
Fax: (765) 298-4913
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01033608A (IN)

Record details

NPI number1629090949
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 24, 2006
Last updated in NPPESFebruary 10, 2021
Certification dateFebruary 10, 2021
Mailing address5751 W 200 N, Anderson, IN 46011-9146

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