Individual
MR. EMMET MICHAEL KENNEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3201 33RD ST S, FARGO, ND 58104-8823
(701) 365-4488
(701) 365-0727
Mailing address
3201 33RD ST S, FARGO, ND 58104-8823
(701) 365-4488
(701) 365-0727
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MN32170
MN
2084P0800X
Psychiatry Physician
ND7174
ND
2084P0802X
Addiction Psychiatry Physician
MN32170
MN
2084P0802X
Addiction Psychiatry Physician
ND7174
ND
2084P0804X
Child & Adolescent Psychiatry Physician
MN32170
MN
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
ND7174
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18353
—
ND
01
—
22028
BCBS
ND
05
—
597823800
—
MN
Enumeration date
09/28/2006
Last updated
04/30/2014
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