Furcolo, Kenneth A

Furcolo, Kenneth A is an individual health care provider with primary practice located at 285 Promenade St , Providence RI 02908-5719. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Furcolo, Kenneth A can be contacted via phone (401) 459-4001.

Contact Information

Primary practice address
285 Promenade St Providence RI 02908-5719
Phone: (401) 459-4001
Fax: (401) 459-4006
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA00067 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA00067 Rhode Island

Profile Details

NPI number 1376626440
LBN Legal business name Furcolo, Kenneth A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Aug 19th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376626440 NPPES
Rhode Island Other 20622 BLUE CROSS
Rhode Island Other 406284 BLUE CROSS

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