IndividualActive
Andreas Kruse, MD
NPI 1962021410 · Forensic Psychiatry Physician · Providence, RI
Provider details
- NPI number
- 1962021410
- Entity type
- Individual
- Primary specialty
- Forensic Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD19592 (RI)
Practice location
1 Hoppin St Ste 204
Providence, RI 02903-4141
Phone: (401) 606-1504
Fax: (401) 606-1486
Mailing address
1 Hoppin St Ste 204
Providence, RI 02903-4141
Registry dates
- Enumerated
- 2020-04-15
- Last updated
- 2024-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.