MR. EMMET MICHAEL KENNEY MD NPI 1902998081

NPI Information

  • NPI: 1902998081
  • Provider Name: MR. EMMET MICHAEL KENNEY, MD
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3201 33RD ST S
    FARGO, ND
    ZIP 58104
  • Phone: (701) 365-4488

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NPI Details

MR. Emmet Michael Kenney, MD is a child and adolescent psychiatry psychiatry neurology in Fargo, ND with 40 years of experience. The provider is 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. MR. Emmet Michael Kenney, MD NPI is 1902998081. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1986

The provider's business location address is:

3201 33RD ST S
FARGO, ND
ZIP 58104-823
Phone: (701) 365-4488
Fax: (701) 365-0727

The NPI 1902998081 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)

The enumeration date for this NPI number is 9/28/2006 and was last updated on 4/30/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatryND7174NORTH DAKOTANo
22084P0800XPsychiatry & NeurologyPsychiatryMN32170MINNESOTANo
32084P0802XPsychiatry & NeurologyAddiction PsychiatryND7174NORTH DAKOTANo
42084P0802XPsychiatry & NeurologyAddiction PsychiatryMN32170MINNESOTANo
52084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryMN32170MINNESOTANo
62084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryND7174NORTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
122028OTHERNORTH DAKOTABCBS
218353MEDICAIDNORTH DAKOTA
358190MEDICARE UPINNORTH DAKOTA
4D58190MEDICARE UPINMINNESOTA
5260002086MEDICARE ID-TYPE UNSPECIFIEDMINNESOTA
6597823800MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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