Kenneth Elad Fonguck
Kenneth Elad Fonguck is a Psychiatric/Mental Health Nurse Practitioner in Woonsocket, Rhode Island. Practices as a sole proprietor. Licensed in Georgia.
- Licensed in
- GA
- In the registry since
- 2020
Practice location Address checks out
1 Cvs DrWoonsocket, RI 02895-6146
Phone: (402) 419-6291
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence APRN-NP296175 (GA) |
|---|
Record details
| NPI number | 1265028781 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 18, 2020 |
| Last updated in NPPES | March 19, 2026 |
| Certification date | March 19, 2026 |
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