Dr. Kenneth Chidi Asogwa, M.D.
Psychiatry & Neurology, Child & Adolescent Psychiatry in Grand Forks, ND. Individual provider (NPI-1).
NPI number1376958397
StatusActive
Last updated in NPPESApr 25, 2019
Details
- NPI
- 1376958397
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kenneth Chidi Asogwa
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 28, 2014
- Last updated
- Apr 25, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PSYCHIATRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology, Child & Adolescent Psychiatry | 15596 | ND | Yes |
Practice location
860 S Columbia RdGrand Forks, ND 58201
Phone 701-780-6697 · Fax 701-780-1507
Mailing address
2401 Demers AveGrand Forks, ND 58201
Phone 701-780-1891
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