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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 Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for EMMET M KENNEY JR · (Male)

NPI # 1902998081
Status Active
Credentials MD
Entity Individual
Enumeration date 09/28/2006
Last updated 04/30/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • MN License # MN32170
  • ND License # ND7174
  • MN Medicaid 597823800
  • ND Medicaid 18353
  • ND Other 22028 BCBS
Hospital affiliation(s) Not Available
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.

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