IndividualActive
Kenneth Shively, M.D.
NPI 1932183449 · Family Medicine Physician · Laporte, IN
Kenneth Shively, M.D. is a Family Medicine Physician provider in Laporte, IN (NPI 1932183449).
Provider details
- NPI number
- 1932183449
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- License
- 01024055A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
900 I St
Laporte, IN 46350-5533
Phone: (219) 324-1950
Street-level locationGet directions
Mailing address
328 N Michigan St
South Bend, IN 46601-1244
Registry dates
- Enumerated
- 2005-11-30
- Last updated
- 2007-07-08
Frequently asked questions
- What is Kenneth Shively's NPI number?
- Kenneth Shively's National Provider Identifier (NPI) is 1932183449, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Shively's specialty?
- Kenneth Shively is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kenneth Shively located?
- Kenneth Shively's practice location on file with NPPES is 900 I St, Laporte, IN 46350-5533.
- What is Kenneth Shively's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Shively is (219) 324-1950.
- Is Kenneth Shively's NPI active?
- Yes — Kenneth Shively's NPI (1932183449) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.