Healthcare Provider Details

I. General information

NPI: 1710876982
Provider Name (Legal Business Name): KEVIN MCALLISTER HIS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2025
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 CALEF HWY UNIT 6
BARRINGTON NH
03825-7299
US

IV. Provider business mailing address

PO BOX 177
GILMANTON NH
03237-0177
US

V. Phone/Fax

Practice location:
  • Phone: 603-259-1977
  • Fax:
Mailing address:
  • Phone: 603-259-1977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number2084
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: