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

Kenneth Alan Shore, MD

Individual provider Internal Medicine Physician · NPI 1114960606

Kenneth Alan Shore, MD is an Internal Medicine in Plano, Texas. Graduated from Eastern Virginia Medical School in 1980, 46 years ago. Practices with Medical Clinic of North Texas, PLLC, a 215-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
46
Trained at
Eastern Virginia Medical School
Licensed in
TX
In the registry since
2006
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

5501 Independence Pkwy Ste 110
Plano, TX 75023-5472
Phone: (972) 596-1747
Fax: (972) 985-9775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence G6231 (TX)

Record details

NPI number1114960606
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 13, 2006
Last updated in NPPESNovember 1, 2019
Mailing address5501 Independence Pkwy Ste 110, Plano, TX 75023-5472

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 1980 (46 years in practice)
Group practice Medical Clinic Of North Texas, Pllc — 215 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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