| Kenneth Elad Fonguck, | |
|
1 Cvs Dr, Woonsocket, RI 02895-6146 | |
| (402) 419-6291 | |
| Not Available |
| Full Name | Kenneth Elad Fonguck |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 1 Cvs Dr, Woonsocket, Rhode Island |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265028781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN-NP296175 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Elad Fonguck, 3768 Southfield Ct, Loganville, GA 30052-4863 Ph: (404) 643-9031 | Kenneth Elad Fonguck, 1 Cvs Dr, Woonsocket, RI 02895-6146 Ph: (402) 419-6291 |
Ms. Joanne Rose Ruggeri, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: One, Cvs Drive, Woonsocket, RI 02895 Phone: 866-389-2727 | |
Ms. Karen Wilmot-chin, N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2000 Diamond Hill Rd Ste 18, Woonsocket, RI 02895 Phone: 401-470-7116 | |
Chanta Pou, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 68 Cumberland St, Ste 102, Woonsocket, RI 02895 Phone: 401-356-1940 | |
Laura Langevin, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2345 Mendon Rd Ste 4, Woonsocket, RI 02895 Phone: 401-250-0123 Fax: 401-238-8769 | |
Nancy Elizabeth Castro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 450 Clinton St, Woonsocket, RI 02895 Phone: 401-767-4100 Fax: 401-235-6899 | |
Angela Patterson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Cvs Dr, Woonsocket, RI 02895 Phone: 617-694-7764 Fax: 401-652-9356 | |
Margaret Janci, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Cummings Way, Woonsocket, RI 02895 Phone: 401-235-7000 |