KENNETH F SHOCKLEY

GRAND RAPIDS, MI
NPI1801854039
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208800000X Urology
(Licence: MI  5101010606)
Enumeration Date2006-05-04
Last Update Date2026-02-18
Business Address
KENNETH F SHOCKLEY D.O.
4047 E HILLS CT SE
GRAND RAPIDS, MI 49546-6249
Phone number: 616-956-9577
Mailing Address
KENNETH F SHOCKLEY D.O.
20952 E 12 MILE RD STE 200
SAINT CLAIR SHORES, MI 48081-3203
Phone number: 586-771-4820
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