Healthcare Provider Details

I. General information

NPI: 1558292029
Provider Name (Legal Business Name): HULL FAMILY MEDICINE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 STAFFORD DR
PRINCETON WV
24740-2405
US

IV. Provider business mailing address

900 STAFFORD DR
PRINCETON WV
24740-2405
US

V. Phone/Fax

Practice location:
  • Phone: 304-320-4760
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KRISTEN MEADOWS
Title or Position: OFFICE MANAGER
Credential:
Phone: 304-575-2337