Individual provider · Type 1 NPI

Kenneth A. Furcolo, PA-C

Medical Physician Assistant · Providence, RI

NPI number 1376626440 Active

Practice location

285 Promenade St
Providence, RI 02908-5719

Call (401) 459-4001 Map

Fax (401) 459-4006

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA00067 (RI)
Surgical Physician Assistant 363AS0400XPA00067 (RI)

Medical Physician Assistant: Definition to come...

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About NPI 1376626440

Kenneth A. Furcolo, PA-C's National Provider Identifier is 1376626440, issued on Oct 23, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Providence, RI. The record was last updated on Aug 19, 2021.