Healthcare Provider Details

I. General information

NPI: 1124032636
Provider Name (Legal Business Name): KEVIN T ARLING DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 DANVILLE RD
EAST HAMPSTEAD NH
05826
US

IV. Provider business mailing address

45 DANVILLE RD
EAST HAMPSTEAD NH
03826
US

V. Phone/Fax

Practice location:
  • Phone: 603-382-0746
  • Fax: 603-382-0746
Mailing address:
  • Phone: 603-382-0746
  • Fax: 603-382-0746

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number5910200
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: