Kenney, Emmet Michael
Kenney, Emmet Michael is an individual health care provider with primary practice located at 3201 33Rd St S , Fargo ND 58104-8823. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Kenney, Emmet Michael can be contacted via phone (701) 365-4488.Contact Information
Primary practice address
3201 33Rd St S
Fargo ND 58104-8823
Phone: (701) 365-4488
Fax: (701) 365-0727
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ND7174 | North Dakota |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MN32170 | Minnesota |
| Allopathic & Osteopathic Physicians / Addiction Psychiatry | 2084P0802X | ND7174 | North Dakota |
| Allopathic & Osteopathic Physicians / Addiction Psychiatry | 2084P0802X | MN32170 | Minnesota |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | ND7174 | North Dakota |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | MN32170 | Minnesota |
Profile Details
| NPI number | 1902998081 |
|---|---|
| LBN Legal business name | Kenney, Emmet Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Apr 30th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902998081 | NPPES |
| Minnesota | MEDICAID | 597823800 | |
| Minnesota | Other | 22028 | |
| Minnesota | MEDICAID | 18353 |
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