National Provider Identifier Database

EMMET M KENNEY JR, MD – NPI #1902998081
Child & Adolescent Psychiatry

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.


Contact Information

EMMET M KENNEY JR, MD
3201 33RD ST S
FARGO, ND58104-8823
Phone: 701-365-4488
Fax: 701-365-0727
Website:
Specialty Taxonomy Code
* Child & Adolescent Psychiatry 2084P0804X
Addiction Psychiatry 2084P0802X
Psychiatry 2084P0800X

* Indicates primary specialty

NPI Profile & details for EMMET M KENNEY JR

NPI Number 1902998081
Credentials MD
Entity Individual
Enumeration date 09/28/2006
Last updated 04/30/2014 - About 12 years ago
Sole proprietor1 No
Identifiers
  • MN License #: MN32170
  • ND License #: ND7174
  • MN Medicaid: 597823800
  • ND Medicaid: 18353
  • ND Other: 22028 BCBS
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for EMMET M KENNEY JR, MD

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