NPI 1386219756 · live from the CMS NPI Registry
Kirsten Emily Stewart Craddock, MD
Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology in Providence, RI. National Provider Identifier 1386219756, active.
NPI record
| NPI | 1386219756 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology 2084N0402X |
| Practice location | 335r Prairie Ave Ste 1a, Providence, RI 02905 |
| Practice phone | 401-444-5685 |
| Mailing address | 15 La Salle Sq, Providence, RI 02903 |
| Enumerated | May 26, 2021 |
| Last updated | July 28, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | 2084N0402X | 1027401 (MA) |
| Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology primary | 2084N0402X | MD21233 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.