What is Kenneth Fogal's NPI number?

Kenneth Fogal's National Provider Identifier (NPI) is 1104800960, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kenneth Fogal's specialty?

Kenneth Fogal is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).

Where is Kenneth Fogal located?

Kenneth Fogal's practice location on file with NPPES is 318 E Main St, Crosby, MN 56441-1691.

What is Kenneth Fogal's phone number?

The practice phone number listed in the NPPES registry for Kenneth Fogal is (218) 546-8375.

Is Kenneth Fogal's NPI active?

Yes — Kenneth Fogal's NPI (1104800960) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Kenneth Fogal, MS VP

NPI 1104800960 · Psychologist · Crosby, MN

Kenneth Fogal, MS VP is a Psychologist provider in Crosby, MN (NPI 1104800960).

Provider details

NPI number: 1104800960
Entity type: Individual
Primary specialty: PsychologistBehavioral Health & Social Service Providers
Credential: MS VP
Sex: Male
License: LP0270 (MN)

Specialties & taxonomies

PsychologistPrimary103T00000XLicense LP0270 (MN)
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
20 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

318 E Main St

Central Lakes Medical Clinic ,PA

Crosby, MN 56441-1691

Phone: (218) 546-8375

Fax: (218) 546-4400

Street-level locationGet directions

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Mailing address