person
Mr. Kenneth A Furcolo, PA-C
Surgical Physician Assistant in Providence, Rhode Island
NPI 1376626440

Kenneth A Furcolo is a Surgical Physician Assistant based in Providence, RI and is specialized in Surgical. Kenneth A Furcolo practices in Providence, RI and has the professional credentials of PA-C. The NPI Number for Kenneth A Furcolo is 1376626440 and holds a License No. PA00067 (Rhode Island).

The current practice location address for Kenneth A Furcolo is 285 Promenade St, Providence, RI and can be reached out via phone at 401-459-4001 and via fax at 401-459-4006. You can also correspond with Kenneth A Furcolo through the mailing address at 285 PROMENADE ST, PROVIDENCE, RI - 02908-5719 (mailing address contact number: 401-777-7000).

Location: 285 Promenade St, Providence, RI, 02908-5719
person
Provider Profile Details
NPI Number
1376626440
Provider Name
Kenneth A Furcolo
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
285 Promenade St, Providence, RI, 02908-5719
Phone Number
401-459-4001
Fax Number
401-459-4006
Provider Enumeration Date
10/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20622 01 RI BLUE CROSS
406284 01 RI BLUE CHIP
institution
Provider Business Practice Location Address Details
Address
285 Promenade St
City
State
Zip
02908-5719
Phone Number
401-459-4001
Fax Number
401-459-4006
person
Provider Business Mailing Address Details
Address
285 Promenade St
City
State
Zip
02908-5719
Phone Number
401-777-7000
Fax Number
401-459-4006
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA00067 (Rhode Island)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA00067 (Rhode Island)
Definition
Definition to come...
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