Individual
KIRSTEN EMILY STEWART CRADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
335R PRAIRIE AVE STE 1A, PROVIDENCE, RI 02905-2426
(401) 444-5685
(401) 444-6115
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MT222572
PA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
1027401
MA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
MD21233
RI
Other
Enumeration date
05/26/2021
Last updated
07/28/2026
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