Kenneth F Shockley, DO
Kenneth F Shockley, DO is an Urology in Grand Rapids, Michigan. Graduated from Philadelphia College of Osteopathic Medicine in 1989, 37 years ago. Practices with Michigan Institute of Urology PC, a 83-clinician group and accepts Medicare assignment. Licensed in Michigan.
- Years since qualifying
- 37
- Trained at
- Philadelphia College of Osteopathic Medicine
- Licensed in
- MI
- In the registry since
- 2006
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
4047 E Hills Ct SEGrand Rapids, MI 49546-6249
Phone: (616) 956-9577
Fax: (616) 956-5988
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Urology Physician (primary) | Taxonomy 208800000X · Licence 5101010606 (MI) |
|---|
Record details
| NPI number | 1801854039 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DO |
| Sole proprietor | Yes |
| NPI enumerated | May 4, 2006 |
| Last updated in NPPES | February 18, 2026 |
| Certification date | February 18, 2026 |
| Mailing address | 20952 E 12 Mile Rd Ste 200, Saint Clair Shores, MI 48081-3203 |
Medicare enrollment
| Medicare specialty | UROLOGY |
|---|---|
| Medical school | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduated | 1989 (37 years in practice) |
| Group practice | Michigan Institute Of Urology Pc — 83 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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