Healthcare Provider Details

I. General information

NPI: 1891607230
Provider Name (Legal Business Name): KALI LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 PARLEY RD
RIDGEFIELD CT
06877-1213
US

IV. Provider business mailing address

14 PARLEY RD
RIDGEFIELD CT
06877-1213
US

V. Phone/Fax

Practice location:
  • Phone: 978-726-2506
  • Fax: 833-764-6145
Mailing address:
  • Phone: 978-726-2506
  • Fax: 833-764-6145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALEXANDRA KILE
Title or Position: OWNER
Credential: NP
Phone: 978-726-2506