Provider Demographics
NPI:1447488259
Name:HULL, KIRSTEN LEIGH (MD)
Entity type:Individual
Prefix:DR
First Name:KIRSTEN
Middle Name:LEIGH
Last Name:HULL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:KIRSTEN
Other - Middle Name:LEIGH
Other - Last Name:SPALDING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:285 GOVERNOR ST STE 250
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-3237
Mailing Address - Country:US
Mailing Address - Phone:401-238-4297
Mailing Address - Fax:401-633-7114
Practice Address - Street 1:285 GOVERNOR ST STE 250
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-3237
Practice Address - Country:US
Practice Address - Phone:401-238-4297
Practice Address - Fax:401-633-7114
Is Sole Proprietor?:No
Enumeration Date:2009-06-30
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD140162084P0800X
MA2566622084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry