Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Kenneth A Furcolo, PA-C

Individual provider Medical Physician Assistant · NPI 1376626440

Mr. Kenneth A Furcolo, PA-C is a Physician Assistant in Providence, Rhode Island. Graduated from Wake Forest University School of Medicine in 1987, 39 years ago. Practices with Orthopedics Rhode Island Inc, a 124-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
39
Trained at
Wake Forest University School of Medicine
Licensed in
RI
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

285 Promenade St
Providence, RI 02908-5719
Phone: (401) 459-4001
Fax: (401) 459-4006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA00067 (RI)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA00067 (RI)

Record details

NPI number1376626440
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 23, 2006
Last updated in NPPESAugust 19, 2021
Certification dateAugust 18, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 1987 (39 years in practice)
Group practice Orthopedics Rhode Island Inc — 124 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Providence