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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KENNETH DANIEL SHIVELY M.D.
NPI 1932183449
Family Medicine in Laporte, IN

Active since November 30, 2005

NPPES record last updated: August 2, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 2, 2026, Jul 13, 2026 (2 updates tracked since 2026).

About Dr. Kenneth Daniel Shively M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH DANIEL SHIVELY M.D. (NPI 1932183449) is an individual family medicine provider in Laporte, Indiana, licensed in Indiana (01024055A) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1932183449
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KENNETH DANIEL SHIVELYCredential: M.D.
Location Address900 I STLaporte, IN 46350-5533
Mailing Address328 N Michigan St, Ste. 200South Bend, IN 46601-1244 · (574) 647-1845 · Fax (574) 647-1825
Phone(219) 324-1950
Sole ProprietorNo
Enumeration DateNovember 30, 2005
Last NPPES UpdateAugust 2, 20262 updates tracked since enumeration
✔ NPI 1932183449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01024055A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
900 I ST, Laporte, IN 46350
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEMORIAL HEALTH SYSTEM, INC.
Physical Therapist
900 I ST
LA PORTE, IN 46350
Laporte County (219) 324-1700
LINK PSYCHOLOGICAL & CONSULTING SERVICE, P.C.
Counselor (Mental Health)
900 I ST
LA PORTE, IN 46350
Laporte County (219) 324-1700
JENNIFER ANN ALDERINK DO
Family Medicine
900 I ST
LA PORTE, IN 46350
Laporte County (219) 324-1700
DR. FREEMAN L. FARROW MD
Family Medicine
900 I ST
LA PORTE, IN 46350
Laporte County (219) 324-1700
DR. DIANE MARGARET RICH PT, DPT
Physical Therapist
900 I ST, STE 100
LA PORTE, IN 46350
Laporte County (219) 324-1730
DR. MICHAEL DUANE HOWARD M.D.
Family Medicine
900 I ST
LAPORTE, IN 46350
Laporte County (219) 324-1700
CHRISTOPHER LAWTON FRENTZ PT
Physical Therapist
900 I ST
LAPORTE, IN 46350
Laporte County (219) 324-1950
LAPORTE MEDICAL GROUP SURGICAL CENTER, LLC
Clinic/Center (Ambulatory Surgical)
900 I ST, SUITE 1
LA PORTE, IN 46350
Laporte County (816) 877-2005

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Shively's NPI number?

The NPI number for Kenneth Shively is 1932183449. It was assigned to this individual provider in the NPPES registry on November 30, 2005.

Where is Kenneth Shively located?

Kenneth Shively practices at 900 I St, Laporte, IN 46350. The listed phone number is (219) 324-1950.

What is Kenneth Shively's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Shively was last updated on August 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.