Mr. Kenneth A Furcolo, PA-C
Physician Assistant, Medical in Providence, Rhode Island
1376626440- Practice location
- 285 Promenade St, Providence, RI 02908-5719
- Phone
- 401-459-4001
- Fax
- 401-459-4006
- Last updated
- August 19, 2021
Kenneth A Furcolo is a Physician Assistant, Medical based in Providence, RI. 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 (RI). The current practice location address for Kenneth A Furcolo is 285 Promenade St, Providence, RI 02908-5719 and can be reached out via phone at 401-459-4001 and via fax at 401-459-4006.
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
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 23, 2006
- Last Update Date
- August 19, 2021
- Certification Date
- August 18, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 285 Promenade St
Providence, RI 02908-5719 - City
- Providence
- State
- Rhode Island
- Zip
- 02908-5719
- Phone Number
- 401-459-4001
- Fax Number
- 401-459-4006
Provider Business Mailing Address Details
- Address
- 285 Promenade St
Providence, RI 02908-5719 - City
- Providence
- State
- RI
- Zip
- 02908-5719
- Phone Number
- 401-777-7000
- Fax Number
- 401-459-4006
License Information
- License Number (1)
- PA00067
- License State (1)
- RI
- Taxonomy (1)
- Physician Assistant, Medical · 363AM0700X · Primary
- License Number (2)
- PA00067
- License State (2)
- RI
- Taxonomy (2)
- Physician Assistant, Surgical · 363AS0400X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Kenneth A Furcolo, PA-C?
The NPI number of Mr. Kenneth A Furcolo, PA-C is 1376626440. It was assigned on October 23, 2006 and is currently active in the NPPES registry.
What is the specialty of Mr. Kenneth A Furcolo, PA-C?
Mr. Kenneth A Furcolo, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in RI under license number PA00067.
Where does Mr. Kenneth A Furcolo, PA-C practice?
The practice location is 285 Promenade St, Providence, RI 02908-5719. The office can be reached at 401-459-4001 (phone) or 401-459-4006 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1376626440 directly on the NPPES registry website.