Healthcare Provider Details

I. General information

NPI: 1194356394
Provider Name (Legal Business Name): KALI MCALISTER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/28/2020
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 E CHURCH ST
CARLSBAD NM
88220-6352
US

IV. Provider business mailing address

411 E CHURCH ST
CARLSBAD NM
88220-6352
US

V. Phone/Fax

Practice location:
  • Phone: 575-885-2440
  • Fax:
Mailing address:
  • Phone: 575-885-2440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC-2025-0032
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number14342
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: