| Kenneth Lafountain, MASTERS | |
|
311 Doric Ave, Cranston, RI 02910-2903 | |
| (401) 784-3600 | |
| (401) 784-3636 |
| Full Name | Kenneth Lafountain |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 311 Doric Ave, Cranston, Rhode Island |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497957674 | NPI | - | NPPES |
| 30343 | Other | RI | BLUE CROSS CRISIS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Entity Name | Lifespan Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548506793 PECOS PAC ID: 2567455082 Enrollment ID: O20130528000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Lafountain, MASTERS 311 Doric Ave, Cranston, RI 02910-2903 Ph: (401) 784-3600 | Kenneth Lafountain, MASTERS 311 Doric Ave, Cranston, RI 02910-2903 Ph: (401) 784-3600 |
Arturo Ramirez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9 Carlo Ct, Cranston, RI 02921 Phone: 781-697-9225 | |
Kathy Young, Counselor Medicare: Medicare Enrolled Practice Location: 1471 Elmwood Ave, Cranston, RI 02910 Phone: 401-724-8400 Fax: 401-722-5280 | |
Bethania Ebenezer Jimenez Meregildo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9 Midvale Ave, Cranston, RI 02920 Phone: 401-603-7238 | |
Elisabeth Merrell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15 Fleming Rd, Cranston, RI 02920 Phone: 800-455-8839 Fax: 866-455-8839 | |
Jeremy May, MASTERS, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1471 Elmwood Ave, Cranston, RI 02910 Phone: 401-490-7320 Fax: 401-808-8685 | |
Lisa L Langlois, LCDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1052 Park Ave, Cranston, RI 02910 Phone: 401-461-5056 Fax: 401-275-5056 | |
Dina Silva, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 156 Mulberry St, Cranston, RI 02910 Phone: 401-428-8065 |