Healthcare Provider Details

I. General information

NPI: 1750275244
Provider Name (Legal Business Name): KALMEN BARKIN RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2025
Last Update Date: 06/07/2025
Certification Date: 06/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

129 AMORY ST
MANCHESTER NH
03102-3583
US

IV. Provider business mailing address

129 AMORY ST
MANCHESTER NH
03102-3583
US

V. Phone/Fax

Practice location:
  • Phone: 732-330-3223
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WX0601X
TaxonomyOtorhinolaryngology & Head-Neck Registered Nurse
License Number111443-21
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code163WN0800X
TaxonomyNeuroscience Registered Nurse
License Number111443-21
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: