Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kenneth Gerard Fogal, MSVP

Individual provider Psychologist · NPI 1104800960

Kenneth Gerard Fogal, MSVP is a Psychologist in Crosby, Minnesota. Licensed in Minnesota. Registered with an NPI since 2005.

Licensed in
MN
In the registry since
2005
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Practice location Address checks out

318 E Main St Central Lakes Medical Clinic Pa
Crosby, MN 56441-1691
Phone: (218) 546-8375
Fax: (218) 546-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP0270 (MN)

Record details

NPI number1104800960
Entity typeIndividual (Type 1)
GenderMale
Credentials MSVP
Sole proprietorNo
NPI enumeratedDecember 5, 2005
Last updated in NPPESJuly 13, 2026